Primary Psoas Abscess in a Neonate

Abstract

A case of primary ileo-psoas abscess in a neonate is presented. Psoas abscess is extremely uncommon in this age group. The role of ultrasound and computed tomography in the diagnosis is demonstrated, and the need for antibiotic therapy is emphasized for a minimum period of 2 weeks.

Neonatal iliopsoas abscess

“…In three recent cases, a small inguinal incision, such as used in our case, reduced the abscess and additional surgical treatment was not required. Other reports have noted that surgical drainage with a large direct incision seemed more effective than US‐guided percutaneous drainage for large, multilocular IPA 9 . In our case, the abscess diminished with a small inguinal incision, despite invasion of the deep retroperitoneal space.…”

“…IPA is rare in neonates, with only 17 cases reported to date in the English literature 1,2,4–10 . These cases are summarized in Table 1.…”

“…IPA is rare in neonates, with only 17 cases reported to date in the English literature. 1,2,[4][5][6][7][8][9][10] These cases are summarized in Table 1. Onset time has ranged from day 11 to 28 after birth, with an average of day 20.…”

Ultrasound-assisted musculoskeletal procedures: A practical overview of current literature

“…Ultrasound has been well described as a tool for diagnosis of tissue fluid collections as well as characterization of soft tissue infections [33][34][35] . A brief listing of types of soft tissue infections where ultrasound can be used for diagnosis can be seen in Table 4 [ [33][34][35] .…”

“…A brief listing of types of soft tissue infections where ultrasound can be used for diagnosis can be seen in Table 4 [ [33][34][35] . Additionally, ultrasound can be used to aid in the diagnosis of osteomyelitis, particularly in pediatric cases [36] .…”