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Retrofascial nontuberculous psoas abscess

M Sadat-Ali1, I al-Habdan, A Ahlberg

  • 1Department of Orthopaedic Surgery, College of Medicine and Medical Sciences, King Faisal University, Dammam, Saudi Arabia.

International Orthopaedics
|January 1, 1995
PubMed
Summary
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Primary pyogenic psoas abscesses, often linked to other conditions, require prompt diagnosis and drainage for effective treatment. This study details 17 cases, highlighting key signs and common bacterial culprits.

Area of Science:

  • Medical microbiology
  • Infectious diseases
  • Radiology

Background:

  • Psoas abscesses are commonly associated with tuberculous spondylitis.
  • They can also occur secondary to inflammatory bowel disease.
  • Primary pyogenic psoas abscess is less common but presents a distinct clinical entity.

Purpose of the Study:

  • To report on 17 cases of primary pyogenic psoas abscess.
  • To describe the clinical presentation, diagnostic methods, and causative organisms.
  • To emphasize the importance of early recognition and treatment.

Main Methods:

  • Retrospective case series analysis of 17 patients.
  • Clinical data collection including demographics, symptoms, and duration of illness.
  • Microbiological cultures and advanced imaging (ultrasonography, CT, MRI) for diagnosis.

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Main Results:

  • 17 cases of primary pyogenic psoas abscess identified over 10 years.
  • Mean age 24.9 years; 13 males, 4 females.
  • Common symptoms included pyrexia and painful hip with flexion deformity.
  • Elevated white cell count and sedimentation rate were universal.
  • Staphylococcus aureus was the most common pathogen (10 cases).
  • Imaging modalities confirmed diagnosis in all cases.

Conclusions:

  • Primary pyogenic psoas abscess requires a high index of suspicion.
  • Prompt diagnosis through clinical signs and imaging is crucial.
  • Early surgical drainage and appropriate antibiotic therapy lead to rapid recovery.