Psoas abscess
Updates to Case Attributes
The patient's presenting symptom was only severe back pain and right thigh/hip pain. The patient later developed a fever 48 hours after admission for what was initially suspected to be radicular back pain. MRI was originally performed to evaluate for potential osteomyelitis, which was later discovered as a psoas abscess.
The patient subsequently had an uncomplicated interventional radiology drainage of over 600 mL of pus with ongoing antibiotics. Isolates of meticillin-resistant Staphylococcus aureus (MRSA) were demonstrated on the intraoperative cultures. A PET scan was performed for evaluation of potential alterantivealternative sources of the abscess, however, it was concluded that the psoas abscess was the primary source.
Psoas abscess is a life-threatening diagnosis, requiring prompt treatment with antibiotics and consideration of drainage. Features of a psoas abscess on CT often include diffuse enlargement of the psoas muscle with an area of central low density.
-<p>The patient's presenting symptom was only severe back pain and right thigh/hip pain. The patient later developed a fever 48 hours after admission for what was initially suspected to be radicular back pain. MRI was originally performed to evaluate for potential osteomyelitis, which was later discovered as a psoas abscess.</p><p>The patient subsequently had an uncomplicated interventional radiology drainage of over 600 mL of pus with ongoing antibiotics. Isolates of meticillin-resistant <em>Staphylococcus aureus </em>(MRSA) were demonstrated on the intraoperative cultures. A PET scan was performed for evaluation of potential alterantive sources of the abscess, however it was concluded that the psoas abscess was the primary source.</p><p><a href="/articles/psoas-muscle-abscess" title="Psoas abscess">Psoas abscess</a> is a life-threatening diagnosis, requiring prompt treatment with antibiotics and consideration of drainage. Features of a psoas abscess on CT often include diffuse enlargement of the psoas muscle with an area of central low density.</p>- +<p>The patient's presenting symptom was only severe back pain and right thigh/hip pain. The patient later developed a fever 48 hours after admission for what was initially suspected to be radicular back pain. MRI was originally performed to evaluate for potential osteomyelitis, which was later discovered as a psoas abscess.</p><p>The patient subsequently had an uncomplicated interventional radiology drainage of over 600 mL of pus with ongoing antibiotics. Isolates of meticillin-resistant <em>Staphylococcus aureus </em>(MRSA) were demonstrated on the intraoperative cultures. A PET scan was performed for evaluation of potential alternative sources of the abscess, however, it was concluded that the psoas abscess was the primary source.</p><p><a href="/articles/psoas-muscle-abscess" title="Psoas abscess">Psoas abscess</a> is a life-threatening diagnosis, requiring prompt treatment with antibiotics and consideration of drainage. Features of a psoas abscess on CT often include diffuse enlargement of the psoas muscle with an area of central low density.</p>