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[Psoas abscess in children. Report of 6 cases]
Boletin Medico Del Hospital Infantil De Mexico
|January 1, 1978
Insights
Psoas muscle abscesses in children present with pain, fever, and abdominal tenderness. Prompt surgical drainage and antibiotics are crucial, though outcomes vary, with some patients recovering and others succumbing to the infection.
Area of Science:
- Pediatric infectious diseases
- Surgical pathology
- Musculoskeletal infections
Context:
- Psoas muscle abscesses are rare but serious infections in children.
- Clinical presentation often includes fever, abdominal pain, and gait disturbances.
Purpose:
- To present a case series of pediatric psoas muscle abscesses.
- To discuss the clinical features, treatment, and outcomes.
- To explore differential diagnoses and pathogenesis.
Summary:
- Six pediatric cases of psoas muscle abscess are reviewed.
- Common symptoms included pain, fever, abdominal tenderness, and leukocytosis.
- Treatment involved surgical drainage and antibiotics, with a 67% survival rate.
Impact:
- Highlights the importance of early diagnosis and intervention for psoas abscesses in children.
- Informs clinical management strategies and emphasizes the need for prompt surgical and antibiotic therapy.
- Contributes to understanding the pathogenesis and differential diagnosis of this condition in pediatric patients.
Abstract:
Six children with abscess of the psoas muscle are presented. Previous trauma pain, claudication and antalgic position of a lower limb, fever, abdominal tenderness and leukocytosis were prominet features. Four patients improved and two died. Treatment included surgical drainage and antibiotics. Differential diagnosis and possible pathogenesis are discussed.