[Psoas abscess, a rare and forgotten entity. Report of 6 cases]

J R Blanco1, M Múgica, J Salcedo

  • 1Servicio de Medicina Interna, Complejo Hospitalario San Millán-San Pedro, Logroño.

Anales De Medicina Interna (Madrid, Spain : 1984)
|May 16, 1998
PubMed

Insights

Psoas abscesses, often overlooked, are frequently caused by Staphylococcus aureus. Prompt antibiotic therapy and surgery lead to full recovery in patients with this condition.

Area of Science:

  • Infectious Diseases
  • Medical Microbiology
  • Surgical Pathology

Background:

  • Psoas abscesses are uncommon intra-abdominal infections that can be challenging to diagnose.
  • Gram-positive bacteria, particularly Staphylococcus aureus, are the most common causative agents.
  • Associated pathologies often include vertebral and urologic conditions.

Observation:

  • A retrospective study reviewed six cases of psoas abscess.
  • The patient cohort consisted of five women and one man, with a median age of 65.83 years.
  • Common symptoms included fever and lumbar pain, with vertebral and urologic conditions as frequent comorbidities.

Findings:

  • Computed tomography (CT) was the primary diagnostic tool for all patients.
  • Accurate identification of causative microorganisms was crucial for treatment.
  • Prompt administration of appropriate antibiotic therapy combined with surgical intervention facilitated recovery.

Implications:

  • Highlights the importance of considering psoas abscess in the differential diagnosis of lumbar pain and fever.
  • Emphasizes the role of Staphylococcus aureus as a key pathogen.
  • Underscores the effectiveness of a combined medical and surgical approach for favorable patient outcomes.

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