Psoas (or iliopsoas) abscess is a collection of pus in the iliopsoas muscle compartment [1]. It may arise via contiguous spread from adjacent. Introducción y objetivos. Aportar a la literatura un nuevo caso de absceso primario de Psoas, con afectación también del Cuadrado Lumbar. Absceso del psoas como causa de dolor lumbar detectado mediante gammagrafía con galio en un paciente con sospecha de espondilodiscitisPsoas abscess.

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Pyogenic and tuberculous etiologies were differentiated analytically through leukocyte values 13, vs. SIJ and psoas abscess.

South Med J, ; With appropriate treatment the prognosis is generally good. She was operated again for recidivist abscess to Klebsiella, acquired through the urinary tract, but this time it was an abscess contiguous to left iliac psoas muscle, after a six-month evolution period of unknown origin fever.

The onset is usually subacute, and symptoms are generally present for a few weeks.

Edit article Share article View revision history. Open surgical drainage should be reserved if percutaneous psias fails. Epidural abscess is the main infectious complication of regional anesthetic techniques, and potentially deleteriouswhich, although uncommon, can be associated with a psoas muscle abscess.

Patients and methods A retrospective review of patients diagnosed of PA in one hospital was conducted We emphasize the importance of bacteriological confirmation of microorganism psaos to choose the correct antibiotics. On physical examination she was febrile but other vital signs were normal.

Since the innervation of the psoas muscle is provided by the roots from L 2 to L 4pain secondary to inflammation of this muscle can irradiate anteriorly, to the hips and thighs.


Check for errors and try again. Extension from the psoas muscle into the iliacus muscle is abscwso common abssceso. The patient presented with fever, right groin pain and malaise. Causes of the abscess were as follows: A new anamnesis revealed that the patient had a domestic cat and finally she remembered getting scratched on her right leg a few weeks ago.

Absceso del psoas en una paciente diabética. Presentación de caso

Synonyms or Alternate Spellings: We describe a secondary psoas abscess in an elderly female patient. Received February 17 th; accepted April 6 th The symptoms of psoas abscess are not specific.

Absceo drainage through right groin was made and purulent material was taken for culture. Nowadays drainage can be surgical or radiological. Primary psoas abscess occurs probably as a result of haematogenous spread of an infectious process from an occult source in the body. The most important are femoral artery catheterization, genitourinary diseases, gastrointestinal diseases, asceso disorders, and nerve block with the insertion of a catheter in the lumbar region.

pdoas Appropriate antibiotics along with drainage of the abscess is the treatment of choice. The patient was referred to the pain clinic, and, due to the suspicion of neuropathic pain secondary to peripheral vascular insufficiency, it was proposed a treatment that consisted of gabapentin, fluoxetine, and a tunneled epidural catheter for the administration of 0.

[Psoas abscess as a differential diagnosis in emergency department].

Previous article Next article. The chest exam revealed clear lungs with normal heart sounds and her abdomen was soft with normal bowel sounds. Pasteurella multocida is Gram negative cocobacilus, facultatively anaerobic and has been isolated from the digestive system or respiratory tract of a abscso of animals, especially domestic cats and dogs.


Other less common etiologies have been described. A retrospective review of patients diagnosed of PA in one hospital was conducted Hematogenous contamination, and contamination of the catheter and anesthetic solution are possible, since there are no established norms for the preparation of those medications in the pharmacy of the pdoas where the patient was.

Physical exam revealed the patient to be anxious, febrile, tachycardic, tachypneic, with edema and hyperemia of the lower limbs. Complex abdominal and pelvic abscesses: Early treatment with antibiotics, guided drainage or open surgery is necessary due to its high morbidity and mortality. Wbsceso the age of 33, she was operated of pyonephrosis and right renal abscess secondary to ascendant urinary infection by Klebsiella pneumoniae.

It’s reported the case of a male patient of 57 years with a history of diabetes mellitus DM of 20 years of evolution, who referred pain in the left lumbar abcseso associated with increased volume and intermittent fever, so he is hospitalized, detecting an extensive left psoas abscess which is drained by open surgery with extraperitoneal approach, showing psoss evolution.

Presentation, microbiology, and treatment. Further diagnostic methods were made to elucidate the origin of this process when cultures of the purulent fluid yielded Pasteurella multocida.