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Primary Iliopsoas Abscess in an Infant: A Case Report
Ajay Kumar Chintakrinda1, Bikramjit Das1, Shivani Dogra1
1Department of Pediatrics and Neonatology, Apollo Gleneagles Hospital, Kolkata, West Bengal, India.
Journal of Indian Association of Pediatric Surgeons
|November 17, 2018
Summary
Primary iliopsoas abscess (IPA) is a rare but serious condition in infants. Prompt surgical drainage and antibiotics in a preterm neonate successfully treated Staphylococcus aureus IPA, preventing long-term hip damage.
Area of Science:
- Pediatric infectious diseases
- Neonatal surgery
- Musculoskeletal infections
Background:
- Primary iliopsoas abscess (IPA) is uncommon in infants.
- Delayed or inadequate treatment of IPA can lead to mortality or permanent hip joint damage.
Observation:
- A 2-month-old preterm neonate presented with left leg swelling and restricted movement.
- Clinical presentation suggested an idiopathic left IPA.
Findings:
- Staphylococcus aureus was identified as the causative pathogen.
- Surgical drainage and systemic antibiotic therapy were administered.
- The infant showed complete recovery with no sequelae at 6 months of age.
Implications:
- Early diagnosis and aggressive management are crucial for favorable outcomes in infantile IPA.
- This case highlights the successful treatment of Staphylococcus aureus IPA in a preterm neonate.
- Prompt intervention can prevent severe complications like hip joint damage.
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