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[A case of psoas abscess associated in the elderly]
T Yamamoto1, M Yamakoshi, K Suzuki
1Department of Internal Medicine, Nagoyashi Koseiin Geriatric Hospital, Japan.
Summary
This case report highlights a psoas abscess in an elderly male with diabetes mellitus. Prompt diagnosis and treatment involving antibiotics and drainage are crucial for managing this serious complication in older diabetic patients.
Area of Science:
- Geriatrics
- Infectious Diseases
- Internal Medicine
Background:
- Psoas abscess is a rare but serious condition, particularly in the elderly.
- Diabetes mellitus is a known risk factor for infections, including abscess formation.
Observation:
- An 81-year-old male with diabetes mellitus presented with high fever, leukocytosis, and pyuria.
- Initial treatment for urinary tract infection and sepsis was insufficient, with persistent low-grade fever.
- Pelvic computed tomography revealed a large right psoas abscess, from which Escherichia coli was cultured.
Findings:
- The psoas abscess was successfully treated with antibiotics and surgical drainage.
- Escherichia coli was identified as the causative pathogen in both the blood and abscess cultures.
- The patient showed symptomatic improvement following the combined treatment approach.
Implications:
- This case underscores the importance of considering psoas abscess in elderly diabetic patients with persistent fever.
- Early and accurate diagnosis, including imaging and microbiological analysis, is vital for effective management.
- Adequate care and vigilance are necessary for elderly patients with diabetes mellitus to prevent and manage complications like psoas abscess.