Psoas abscess with associated septic arthritis of the hip in infants

Wang, Enbo; Ma, Lili; Edmonds, Eric W.; Zhao, Qun; Zhang, Lijun; Ji, Shijun

doi:10.1016/j.jpedsurg.2010.07.052

Cited by 19 publications

(7 citation statements)

References 6 publications

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“…Limb swelling, pain, limitation of movement along with discoloration of the affected limb are the common presenting features. Abdominal mass as a presenting features has also been reported [3,5,6]. The clinical pictures often mimic the presentation of septic arthritis, which often remains as an important differential diagnosis [5,6].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Iliopsoas Abscess in a Term Neonate — Case Report and Brief Review of Literature

Peddu

Nanda²,

Pradhan³

et al. 2022

SN Compr. Clin. Med.

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Iliopsoas abscesses are rare in neonates. Clinical presentation of neonates with iliopsoas abscess often mimic other common neonatal illness. Typical clinical features as described in adults may not be observed in neonates. Such abscesses cause a diagnostic dilemma for the clinician, often resulting in a delay in clinical diagnosis and institution of speci c treatment. We report a case of a 10-day old term male neonate from community who presented with high grade fever, abdominal distension, left lower limb swelling with limitation of movement and diagnosed to have left sided iliopsoas abscess on ultrasonography.The neonate undergone and extraperitoneal surgical drainage of the abscess along with a course systemic antimicrobial agent. The case is of clinical importance because it describes the presence of a localized abscess in an uncommon location and Methicillin resistant staphylococcus being the causative organism, which represents a rare and potentially life-threatening infection in neonates.

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Section: Discussionmentioning

confidence: 99%

A Rare Case of Iliopsoas Abscess in a Term Neonate — Case Report and Brief Review of Literature

Peddu

Nanda²,

Pradhan³

et al. 2022

SN Compr. Clin. Med.

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“…Laboratory investigations show elevated blood counts with neutrophilia and elevated C-reactive protein. Blood culture is positive in about one-third of cases [3].…”

Section: Discussionmentioning

confidence: 99%

Iliopsoas Abscess in Children – A Forgotten Diagnosis

2021

IJPO

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Iliopsoas abscess is a rare diagnosis in children. We recently encountered two cases which were managed at our institution. A 11-year female presented with thigh and inguinal swelling while 3-year male child presented with limp and fixed flexion deformity of right leg. Due to the differing presentation, imaging studies are often important before management is planned. Ultrasound scan is the most common investigation followed by computerized tomography (CT) scan in a selected few. The girl underwent a CT scan followed by incision and drainage (I&D) of the iliopsoas abscess while the boy underwent ultrasound-guided pigtail catheter insertion. Both cases were successfully treated. Atypical presentation of iliopsoas abscess makes the diagnosis difficult and requires a high degree of clinical suspicion for making correct diagnosis. Imaging studies help with diagnosis in such cases. Less invasive techniques like image-guided aspiration and catheter drainage can be helpful in carefully selected cases. Keywords: Iliopsoas abscess, Atypical presentation, Percutaneous drainage, Pediatric.

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“…, 4 , 5 , 8 Staphylococcus hominis and Klebsiella phenumoniae pathogens are responsible for the remaining cases 2 , 4 , 5 , 8 . In immune‐compromised patients other organisms have been described, including gram‐negative enteric organisms, anaerobes and fungi, though these organisms are very rarely found in the paediatric population 2 , 4 , 5 , 8 .…”

Section: Discussionmentioning

confidence: 99%

“…, 9 Imaging guided percutaneous draining is often advocated; in particular the use of ultrasound guided drainages for a quick, minimally invasive and non‐radiation treatment option 8 9 Antibiotic choice is guided by the knowledge of the causative organism present within the aspirated material 8 9 , 10 …”

Section: Discussionmentioning

confidence: 99%

Paediatric Iliopsoas abscess: A case report

Elliott

2013

Australas J Ultrason Med

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Introduction: Iliopsoas abscess is an uncommon condition in the paediatric population. The clinical presentation is variable and may be confused with other conditions such as septic arthritis, osteomyelitis and appendicular abscess. A suspicion of iliopsoas abscess requires a prompt diagnosis so that rapid management and treatment can be undertaken. Discussion: This case describes the presence of an iliopsoas abscess in a paediatric patient presenting to the emergency department within a rural community. Due to the variability in clinical presentation imaging studies are necessary to distinguish an iliopsoas abscess from other inflammatory processes. Ultrasound is often the modality of choice. Imaging guided percutaneous drainage and/or aspiration and the administration of intravenous antibiotics are minimally invasive modern techniques providing a safe treatment options in the presence of an iliopsoas abscess. Conclusion: Iliopsoas abscess is an uncommon condition in the paediatric population. Due to the variability in clinical presentation, imaging, and in particular, ultrasound play a vital role in the diagnosis of cases with a high suspicion of abscess formation. Accurate diagnosis leads to a rapid treatment plan, avoiding further insult.

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Psoas abscess with associated septic arthritis of the hip in infants

Cited by 19 publications

References 6 publications

A Rare Case of Iliopsoas Abscess in a Term Neonate — Case Report and Brief Review of Literature

A Rare Case of Iliopsoas Abscess in a Term Neonate — Case Report and Brief Review of Literature

Iliopsoas Abscess in Children – A Forgotten Diagnosis

Paediatric Iliopsoas abscess: A case report

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