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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Other symptoms include nausea, malaise, and weight loss. We describe a secondary psoas abscess in an elderly female patient.

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

As this study did not show any alteration, a computed tomography CT was performed to investigate an infectious origin. Even microscopic muscle trauma may be the origin of the infection.

Menos frecuente es encontrarla causando abscesos del psoas. Recurrent abdominal and pelvic abscesses: Amunategui-Prats aE. Past medical history was positive for chronic peripheral vascular disease, valvular cardiopathy, atrial fibrillation, and implantation of a biological mitral valve 11 years before admission.

Bilateral psoas hematomas Bilateral psoas hematomas. Deep venous thrombosis was initially suspected, so patient underwent Doppler ultrasonography. We can choose broad-spectrum antibiotics like cephalosporins, quinolones, imipenem and clindamycin pending final bacteriologic diagnosis.

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

Information was collected from patients diagnosed with psoas abscess who were admitted to the General Surgery department from to This item has received. The most important are femoral artery catheterization, genitourinary diseases, gastrointestinal diseases, musculoskeletal disorders, and nerve block with the insertion of a catheter in the lumbar region.

All the absces of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. In our patient the presumed route of infection was a small skin trauma due to ansceso scratch on her leg that caused a severe infection of the soft tissues with lymphangitis, celulitis and abscess formation at the last.

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Psoas abscess due to Pasteurella multocida | Revista de Gastroenterología de México

SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. After surgical drainage and antibiotic therapy clinical course remained uneventful. Subscribe to our Newsletter. Si continua navegando, consideramos que acepta su uso.

Synonyms or Alternate Spellings: This is often treated psoax a image-guided percutaneous drainagetypically CT, due to the retroperitoneal location. Br J Anaesth, ; A high clinical suspicion, a good clinical history and imaging studies can be useful in diagnosing the disease. Navia esquina Isabel Primera: Surgery was the treatment in three cases and placement of pigtail drainage was the treatment in two patients.

Twenty days after the procedure, close to the discontinuation of the epidural treatment, the patient presented with lumbar pain, headache, and high fever. Services on Demand Article. With appropriate treatment the prognosis is generally good. To improve our services and products, we abscwso “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.

Presentamos el caso de un absceso del psoas secundario en una paciente anciana. From Monday to Friday from 9 a. Following laboratory, radiological and microbiological analyses the patient was diagnosed as having a psoas abscess due to Pasteurella multocida, which is a Gram negative osoas, part of the normal oral flora of many animals and can causes human infections after animal scratches or bites. The patient, aged 57 years, has type I diabetes mellituscomplicated with bilateral obstructive lithiasic uropathy and reiterative urinary infections.

Articles Cases Courses Quiz. Patients and methods A retrospective review of patients diagnosed of PA in one hospital was conducted Psoas muscle abscess may be classified as primary or secondary depending on the presence or absence of underlying disease. Objectives To describe the clinical characteristics of patients with abscess on the psoas muscle PA and to identify the possible differences existing between pyogenic and tuberculous etiologies. Only another case has been reported before in the literature.

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Psoas abscess is a pus collection within the muscle compartment. Case 10 Case Each patient had computed tomography performed, which confirmed the diagnosis. Gram negative bacilli, Streptococcus spp. Leukocytosis, anemia, raised ESR and right laterality suggest pyogenic etiology. Loading Stack ansceso 0 images remaining. It is a very uncommon entity. Here we present the case of a psoas muscle abscess secondary to the introduction of an epidural catheter for the treatment of pain difficult to control.

Pwoas from the psoas muscle into the iliacus muscle is a common sequela.

Percutaneous drainage is the treatment of choice. Medications included digoxin, pentoxyfillin, and furosemide in the habitual doses. After surgical osoas and antibiotic therapy clinical course remained uneventful. It can be primary as a result of haematogenous spread or secondary as a consequence of a direct extension of an infectious focus.

Lumbar pain, fever and rash were clinical features in three psoad. Primary psoas abscess has a better prognosis than secondary and usually the major cause of death is delayed or inadequate therapy.