Retrospective review of clinical presentations, microbiology, and outcomes of patients with psoas abscess

Wong, OF; Ho, Pak-Leung; Lam, S K

doi:10.12809/hkmj133793

Cited by 41 publications

(64 citation statements)

References 18 publications

(19 reference statements)

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“…[13][14][15][16][17] A local study showed high coding accuracy in CDARS with a positive predictive value (PPV) of 90%. 18 Nonetheless, we conducted further validation on a sample of patients in this cohort to ensure the validity of our data set.…”

Section: Data Sourcementioning

confidence: 99%

Prevention of Dabigatran-Related Gastrointestinal Bleeding With Gastroprotective Agents: A Population-Based Study

et al. 2015

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Section: Data Sourcementioning

confidence: 99%

Prevention of Dabigatran-Related Gastrointestinal Bleeding With Gastroprotective Agents: A Population-Based Study

et al. 2015

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“…2,3 The symptoms and signs of an IPA may (either surgical or percutaneous) and appropriate antibiotic therapy. 9 Percutaneous drainage (PCD) is traditionally used to treat intra-abdominal or pelvic abscesses, and is now the first-line treatment for an IPA. 7,10 PCD under ultrasound (US) guidance is preferable to open surgical drainage, being less invasive and associated with a shorter hospital stay.…”

Section: Introductionmentioning

confidence: 99%

“…In 1997, Gupta et al, studied 51 patients in India. 13 1,9,11,14,15 No methicillin-resistant S. aureus was noted.…”

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confidence: 97%

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Iliopsoas abscess: clinical presentation, management, and outcome

et al. 2018

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Background: The aim of this study was to review our experience with iliopsoas abscesses (IPAs) and evaluate the various drainage procedures.Methods: All consecutive patients with an IPA admitted to three university hospitals between September 2008 and June 2017 were retrospectively included.Results: Of the 26 patients, 17 (65.4%) were male and nine (34.6%) were female, with an average age of 30.7 (17-58) years. Fifteen (57.7%) cases had primary IPAs and Staphylococcus spp. was the most common isolate. Eleven (42.3%) cases had secondary IPAs, and spinal tuberculosis was the most common underlying condition. Lower-back or flank pain was the most common presentation (69.2%). Computed tomography (CT) scans confirmed all clinical diagnoses. All patients were managed via drainage and antibiotic therapy; seven (26.9%) were subjected to open surgical drainage and 19 (73.1%) received percutaneous drainage (PCD) under ultrasound (US) guidance. The average hospital stay was 9.5 days (range 5-18 days). The hospital stay was significantly shorter in patients treated via PCD compared to those who received open drainage: 8.5 days (range 5-14 days) vs. 12.1 days (range 6-18 days), respectively (p = 0.031). The overall recurrence rate was 11.5% (3/26). Recurrence developed in three patients treated via US-guided PCD and all were successfully treated via a second round of PCD. No mortality was recorded.Conclusions: US-guided PCD combined with appropriate antibiotic therapy is safe and effective with shorter hospital stay when used to treat IPAs. Open surgical drainage may be warranted if the IPA is multiloculated or if there is an underlying pathology.

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“…7,8 The typically described psoas abscess (otherwise known as a Pott abscess) is also known as a tuberculous abscess. The classic triad of symptoms-flank pain, fever, and limitation of hip movements-is not always present.…”

Section: Discussionmentioning

confidence: 99%

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Ghazanfar

Khan²,

Popoola³

2016

Exp Clin Transplant

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A psoas abscess is a condition with vague symptomatology that is associated with potentially life-threatening suppurative myositis of the iliopsoas muscular compartment. Immunocompromised patients run an increased risk of developing suppurative or chronic abscesses from acute foci. The presence of a solid-organ transplant, and the attendant need for immunosuppressant therapies and impaired renal provide additional factors that could contribute to the comorbidities of this condition.Here, we present a 61-year-old white man with a functioning renal transplant who developed a chronic psoas abscess associated with an appendicular sinus that required serial computed tomographic-guided drainages during 8 years. We highlight the difficulties and limitations of managing a psoas abscess. We conclude that a conservative approach toward managing a chronic psoas abscess may be associated with good long-term patient and graft functions, with minimal risk to the patient.

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Retrospective review of clinical presentations, microbiology, and outcomes of patients with psoas abscess

Abstract: Psoas abscess is an uncommon condition. Most patients presented with only non-specific symptoms leading to difficulty in making an early diagnosis. In more than half of these patients, the psoas abscesses were secondary, the aetiology of which differed from reported overseas experience.

Cited by 41 publications

References 18 publications

Prevention of Dabigatran-Related Gastrointestinal Bleeding With Gastroprotective Agents: A Population-Based Study

Prevention of Dabigatran-Related Gastrointestinal Bleeding With Gastroprotective Agents: A Population-Based Study

Iliopsoas abscess: clinical presentation, management, and outcome

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