An Easily Overlooked Presentation of Malignant Psoas Abscess: Hip Pain

Abstract

Psoas abscess is a rare infectious disease with nonspecific clinical presentation that frequently causes a diagnostic difficulty. Its insidious onset and occult characteristics can cause diagnostic delays. It is classified as primary or secondary. Staphylococcus aureus is the most commonly causative pathogen in primary psoas abscess. Secondary psoas abscess usually occurs as a result of underlying diseases. A high index of clinical suspicion, the past and recent history of the patient, and imaging studies can be helpful in diagnosing the disease. The delay of the treatment is related with high morbidity and mortality rates. In this paper, 54-year-old patient with severe hip pain having an abscess in the psoas muscle due to metastatic cervical carcinoma is presented.

Barriers to bystander CPR: Evaluating socio-economic and cultural factors influencing students attending community CPR training

“…Iliopsoas abscess is a relatively uncommon condition that often presents with ambiguous clinical features. Patients may initially present with nonspecific symptoms such as malaise, fatigue, and low-grade fever, or they may exhibit a more severe presentation such as high fever, weight loss, pain in the abdomen, groin, low back, or hip, or difficulty walking [1]. We found, as has been shown previously, the classic triad of pain, fever and limp is rarely seen in IPA patients [3].…”

“…Barriers to bystander CPR: Evaluating socioeconomic and cultural factors influencing students attending community CPR training Out-of-hospital cardiac arrest (OHCA) remains a leading cause of death in the United States, affecting over 350,000 people annually [1]. Research repeatedly demonstrates that prompt bystander initiated cardiopulmonary resuscitation (CPR) improves both the overall survival rate and nearly every objective measures of surviving an OHCA [2][3][4][5][6][7][8][9].…”

Laparoscopic drainage as a minimally invasive treatment for a psoas abscess

“…[ 2 ] The common symptoms include fever, persistent back pain, and limitation of hip motion. [ 3 – 5 ] However, as the symptomatology varies and the clinical features are non-specific, diagnosis and effective management are frequently delayed. [ 6 ] A psoas abscess can be caused by lymphatic or hematological infective spread from a distant lesion but also by direct spread from a nearby infection.…”

A Devasting Course of an Iliopsoas Muscle Abscess Subsequently Leading to Septic Shock, Septic Hip Arthritis, and Extended Gluteal Soft Tissue Necroses in an Elderly Immunocompromised Patient with Multiple Carcinomas: A Case Report and Brief Review of Literature

“…Iliopsoas Muscle (IPM) abscess is a rare condition with varying symptomology and etiology and remains a challenging diagnostic and therapeutic problem. Hence, this condition is often primarily overlooked potentially leading to septic shock in up to 20% of cases accompanied with a mortality rate ranging from 5% to 25% with a marked increase of mortality in immunocompromised patients older than 65 years and multiple comorbidities, and untreated cases have a mortality rate of nearly 100% [ 1 - 7 ]. Due to the immediate anatomical relationship of the IPM to the trochanteric bursa which communicates occasionally with the hip joint, the dreaded septic hip arthritis ( i.e.…”