Literature review and case report of bilateral extensive psoas abscess: a rare case of spondylomyelitis with infection spread to Hunter's canal with rare causative microorganism
A 43-year-old male patient with underlying diabetes mellitus presented with lower abdominal pain radiating to left thigh. He was hemodynamically stable, but appeared lethargic. Both iliac fossae were tender, and crepitus appreciated along the anteromedial aspect of the left thigh. The patient initia...
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| Format: | Article |
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Turkish Joint Diseases Foundation
2021
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| _version_ | 1796982916244307968 |
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| author | Nagaretnam, Vinodharan Rampal, Sanjiv Abas, Razif Chopra, Suresh Teh, Hak Lian |
| author_facet | Nagaretnam, Vinodharan Rampal, Sanjiv Abas, Razif Chopra, Suresh Teh, Hak Lian |
| author_sort | Nagaretnam, Vinodharan |
| collection | UPM |
| description | A 43-year-old male patient with underlying diabetes mellitus presented with lower abdominal pain radiating to left thigh. He was hemodynamically stable, but appeared lethargic. Both iliac fossae were tender, and crepitus appreciated along the anteromedial aspect of the left thigh. The patient initially responded well to treatment and was discharged; however, he was re-admitted several months later due to recurrent collection showing the growth of Klebsiella pneumoniae in the culture and succumbed to sepsis due to deep-seated intramuscular abscess and lung empyema. In conclusion, psoas abscess is a condition that can mimic various pathologies related to the lower abdomen and, therefore, clinicians should always have a high index of suspicion to prevent a missed diagnosis. Early detection may yield good outcomes, if managed with adequate surgical drainage and appropriate antibiotics. |
| first_indexed | 2024-03-06T10:58:52Z |
| format | Article |
| id | upm.eprints-94041 |
| institution | Universiti Putra Malaysia |
| last_indexed | 2024-03-06T10:58:52Z |
| publishDate | 2021 |
| publisher | Turkish Joint Diseases Foundation |
| record_format | dspace |
| spelling | upm.eprints-940412023-12-15T23:33:52Z http://psasir.upm.edu.my/id/eprint/94041/ Literature review and case report of bilateral extensive psoas abscess: a rare case of spondylomyelitis with infection spread to Hunter's canal with rare causative microorganism Nagaretnam, Vinodharan Rampal, Sanjiv Abas, Razif Chopra, Suresh Teh, Hak Lian A 43-year-old male patient with underlying diabetes mellitus presented with lower abdominal pain radiating to left thigh. He was hemodynamically stable, but appeared lethargic. Both iliac fossae were tender, and crepitus appreciated along the anteromedial aspect of the left thigh. The patient initially responded well to treatment and was discharged; however, he was re-admitted several months later due to recurrent collection showing the growth of Klebsiella pneumoniae in the culture and succumbed to sepsis due to deep-seated intramuscular abscess and lung empyema. In conclusion, psoas abscess is a condition that can mimic various pathologies related to the lower abdomen and, therefore, clinicians should always have a high index of suspicion to prevent a missed diagnosis. Early detection may yield good outcomes, if managed with adequate surgical drainage and appropriate antibiotics. Turkish Joint Diseases Foundation 2021 Article PeerReviewed Nagaretnam, Vinodharan and Rampal, Sanjiv and Abas, Razif and Chopra, Suresh and Teh, Hak Lian (2021) Literature review and case report of bilateral extensive psoas abscess: a rare case of spondylomyelitis with infection spread to Hunter's canal with rare causative microorganism. Joint Diseases and Related Surgery, 32 (3). pp. 775-778. ISSN 2687-4784; ESSN: 2687-4792 https://jointdrs.org/full-text/1286/eng 10.52312/jdrs.2021.203 |
| spellingShingle | Nagaretnam, Vinodharan Rampal, Sanjiv Abas, Razif Chopra, Suresh Teh, Hak Lian Literature review and case report of bilateral extensive psoas abscess: a rare case of spondylomyelitis with infection spread to Hunter's canal with rare causative microorganism |
| title | Literature review and case report of bilateral extensive psoas abscess: a rare case of spondylomyelitis with infection spread to Hunter's canal with rare causative microorganism |
| title_full | Literature review and case report of bilateral extensive psoas abscess: a rare case of spondylomyelitis with infection spread to Hunter's canal with rare causative microorganism |
| title_fullStr | Literature review and case report of bilateral extensive psoas abscess: a rare case of spondylomyelitis with infection spread to Hunter's canal with rare causative microorganism |
| title_full_unstemmed | Literature review and case report of bilateral extensive psoas abscess: a rare case of spondylomyelitis with infection spread to Hunter's canal with rare causative microorganism |
| title_short | Literature review and case report of bilateral extensive psoas abscess: a rare case of spondylomyelitis with infection spread to Hunter's canal with rare causative microorganism |
| title_sort | literature review and case report of bilateral extensive psoas abscess a rare case of spondylomyelitis with infection spread to hunter s canal with rare causative microorganism |
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