Iliopsoas Abscess in a 24-Months-Old Child: Management in Absence of an Identifiable Organism
Iliopsoas abscess presents with vague and variable symptoms and is less commonly encountered in a clinical setting. The most common causative agent is staphylococcus aureus. In our case, a 2-year-old boy presented with high-grade fever, difficulty in walking, and pain in the right leg near the hip...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Liaquat National Hospital and Medical College
2020-06-01
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| Series: | Liaquat National Journal of Primary Care |
| Subjects: | |
| Online Access: | https://journals.lnh.edu.pk/lnjpc/pdf/a46300c3-86be-4ce9-9c79-f64b46a68b99.pdf |
| _version_ | 1798033385508044800 |
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| author | Laraib Malik Jawad Ahmed Farheen Malik Junaid Ahmad Sina Aziz |
| author_facet | Laraib Malik Jawad Ahmed Farheen Malik Junaid Ahmad Sina Aziz |
| author_sort | Laraib Malik |
| collection | DOAJ |
| description | Iliopsoas abscess presents with vague and variable symptoms and is less commonly encountered in a clinical setting. The most
common causative agent is staphylococcus aureus. In our case, a 2-year-old boy presented with high-grade fever, difficulty in
walking, and pain in the right leg near the hip joint. Psoas sign was positive but his blood cultures were negative and CT scan
showed a necrotic mass with peripheral enhancement measuring 7.0x4.2x2.6 cm in all three dimensions in right Psoas muscle.
Biopsy of the abscess was denied and the patient was managed conservatively with intravenous ceftriaxone and metronidazole. This
case highlights the importance of clinical examination and then co-relating it radiologically and focuses on the importance of broadspectrum antibiotics when necessary investigation (biopsy in our case) is denied. |
| first_indexed | 2024-04-11T20:29:35Z |
| format | Article |
| id | doaj.art-abe9cdacf0b948e9a893195e000ae7ca |
| institution | Directory Open Access Journal |
| issn | 2707-3521 2708-9134 |
| language | English |
| last_indexed | 2024-04-11T20:29:35Z |
| publishDate | 2020-06-01 |
| publisher | Liaquat National Hospital and Medical College |
| record_format | Article |
| series | Liaquat National Journal of Primary Care |
| spelling | doaj.art-abe9cdacf0b948e9a893195e000ae7ca2022-12-22T04:04:33ZengLiaquat National Hospital and Medical CollegeLiaquat National Journal of Primary Care2707-35212708-91342020-06-01214648https://doi.org/10.37184/lnjpc.2707-3521.1.11Iliopsoas Abscess in a 24-Months-Old Child: Management in Absence of an Identifiable OrganismLaraib Malik0Jawad Ahmed1Farheen Malik2Junaid Ahmad3Sina Aziz4Pediatrics Department, Abbasi Shaheed Hospital, Karachi, PakistanDepartment of Internal Medicine, Dow University of Health Sciences, Karachi, PakistanDepartment of Internal Medicine, Dow University of Health Sciences, Karachi, PakistanLiaquat University of Medical and Health Sciences, Jamshoro, PakistanPediatrics Department, Abbasi Shaheed Hospital, Karachi, PakistanIliopsoas abscess presents with vague and variable symptoms and is less commonly encountered in a clinical setting. The most common causative agent is staphylococcus aureus. In our case, a 2-year-old boy presented with high-grade fever, difficulty in walking, and pain in the right leg near the hip joint. Psoas sign was positive but his blood cultures were negative and CT scan showed a necrotic mass with peripheral enhancement measuring 7.0x4.2x2.6 cm in all three dimensions in right Psoas muscle. Biopsy of the abscess was denied and the patient was managed conservatively with intravenous ceftriaxone and metronidazole. This case highlights the importance of clinical examination and then co-relating it radiologically and focuses on the importance of broadspectrum antibiotics when necessary investigation (biopsy in our case) is denied.https://journals.lnh.edu.pk/lnjpc/pdf/a46300c3-86be-4ce9-9c79-f64b46a68b99.pdfpediatricsiliopsoas abscessunknown etiologyctultrasound |
| spellingShingle | Laraib Malik Jawad Ahmed Farheen Malik Junaid Ahmad Sina Aziz Iliopsoas Abscess in a 24-Months-Old Child: Management in Absence of an Identifiable Organism Liaquat National Journal of Primary Care pediatrics iliopsoas abscess unknown etiology ct ultrasound |
| title | Iliopsoas Abscess in a 24-Months-Old Child: Management in Absence of an Identifiable Organism |
| title_full | Iliopsoas Abscess in a 24-Months-Old Child: Management in Absence of an Identifiable Organism |
| title_fullStr | Iliopsoas Abscess in a 24-Months-Old Child: Management in Absence of an Identifiable Organism |
| title_full_unstemmed | Iliopsoas Abscess in a 24-Months-Old Child: Management in Absence of an Identifiable Organism |
| title_short | Iliopsoas Abscess in a 24-Months-Old Child: Management in Absence of an Identifiable Organism |
| title_sort | iliopsoas abscess in a 24 months old child management in absence of an identifiable organism |
| topic | pediatrics iliopsoas abscess unknown etiology ct ultrasound |
| url | https://journals.lnh.edu.pk/lnjpc/pdf/a46300c3-86be-4ce9-9c79-f64b46a68b99.pdf |
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