Academic literature on the topic 'Iliopsoas abscess'

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Journal articles on the topic "Iliopsoas abscess"

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Li, Yu, Hiraku Funakoshi, Takashi Shiga, and Shigeki Fujitani. "Iliopsoas abscess." Cleveland Clinic Journal of Medicine 84, no. 11 (2017): 833–34. http://dx.doi.org/10.3949/ccjm.84a.17002.

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Dietrich, Agustin, Hernán Vaccarezza, and Carlos A. Vaccaro. "Iliopsoas Abscess." Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 23, no. 1 (2013): 45–48. http://dx.doi.org/10.1097/sle.0b013e31826e0ac9.

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Pereira, Nigel, Elise C. Bardawil, Meghan A. Patel, Ryan K. Brannon, Michael L. Podolsky, and Paul Nyirjesy. "Iliopsoas Abscess." Journal of Lower Genital Tract Disease 18, no. 2 (2014): E34—E37. http://dx.doi.org/10.1097/lgt.0b013e318296c1ac.

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Shumeyko, A. A., I. M. Batyrshin, A. E. Demko, D. S. Sklizkov, J. S. Ostroumova, and D. V. Fomin. "Iliopsoas abscess: etiology, pathogenesis, methods of diagnosis and treatment (literature review)." Pacific Medical Journal, no. 1 (May 18, 2024): 17–23. http://dx.doi.org/10.34215/1609-1175-2024-1-17-23.

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Iliopsoas abscess comprises a frequently missed and late-diagnosed pathology that can be encountered by specialists of various profiles. Depending on the etiology and pathogenesis, iliopsoas abscess can be primary, if the infectious process initially develops in the iliopsoas muscle, or secondary, if the infection spreads from another inflammatory focus. The disease often has non-specific clinical manifestations and, in secondary abscesses, may be masked by symptoms of the underlying disease. The most informative diagnostic methods include CT scanning and magnetic resonance imaging. In the case of early detection and adequate treatment, the prognosis is generally good. Untimely treatment can lead to such serious complications as purulent leakage into neighboring areas, severe sepsis, septic shock, and persistent functional disorders. Without treatment, the mortality rate reaches 100%. To date, no uniform approaches to the management of patients with iliopsoas abscess has been developed.
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Grgur, Jelena, Djurdja Cvjetkovic-Nikoletic, Dragana Simic, Nikola Eic, Sonja Lukac, and Radoica Jokic. "Iliopsoas abscess in infants: A case report." Medical review 75, no. 3-4 (2022): 119–22. http://dx.doi.org/10.2298/mpns2204119g.

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Introduction. Iliopsoas abscess is a rare condition, which may be categorized as primary or secondary. Primary iliopsoas abscess is caused by lymphohematogenous spread of infectious agents from a distant site, unlike secondary iliopsoas abscess that is a result of direct spread of a nearby infectious or inflammatory process. The diagnosis and treatment of primary iliopsoas abscess are often prolonged, due to the rarity of the disease and the nonspecific signs and symptoms. Case Report. This study presents a case of a onemonth old infant with a left-sided iliopsoas abscess. The physical examination revealed a swelling with a pronounced vascular pattern in the area of the left groin. Laboratory findings showed leukocytosis and increased inflammatory markers. An abscess within the left hemiabdomen and inguinofemoral region was diagnosed by ultrasonography and computerized tomography. The main therapeutic approach included antibiotic therapy, as well as surgical drainage of the abscess. Staphylococcus aureus was isolated from a 100 ml sample of the drained abscess. The treatment outcome was good. Conclusion. Given the frequency of iliopsoas abscess in infants, which is far less common than other primary diseases, greater attention must be paid to symptoms and signs during clinical examination, along with the appropriate choice of diagnostic procedures. Timely diagnosis, as well as adequate treatment of iliopsoas muscle abscess, is imperative in order to prevent the development of complications, such as systemic inflammation and sepsis.
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Jamsari, Giuleta, Joseph Do Woong Choi, Benedict Kakala, Hillary Hu, and Gideon Sandler. "Conservative Treatment of an Unusual Presentation of Iliopsoas Phlegmon Related to Infected Intrauterine Contraceptive Device." Case Reports in Surgery 2024 (February 6, 2024): 1–4. http://dx.doi.org/10.1155/2024/9916070.

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Iliopsoas phlegmon/abscess is uncommon, and individuals often present with nonspecific symptoms. Diagnosis is often delayed and almost always requires advanced imaging techniques such as computed tomography or magnetic resonance imaging. We report a case of a 51-year-old woman who presented with right lower limb swelling and associated rash with imaging demonstrating iliopsoas abscess secondary to an infected intrauterine contraceptive device. This rare case highlights the nonspecific presentation of iliopsoas abscess and the need to consider unusual sources of infection such as an intrauterine contraceptive device in women presenting with iliopsoas phlegmon and abscess.
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Al-Sadhan, Nehal, Ottto Liebmann, and Kristin Dwyer. "Point-of-care Ultrasound Identification of Iliopsoas Abscess in Emergency Department: A Case Report." Clinical Practice and Cases in Emergency Medicine 4, no. 3 (2020): 404–6. http://dx.doi.org/10.5811/cpcem.2020.5.45255.

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Introduction: The iliopsoas muscle is a rare place for an abscess to collect. While these abscesses can have high mortality, they are often misdiagnosed. The use of point-of-care ultrasound (POCUS) can aid in earlier diagnosis. Case Report: A 45-year-old male presented to the emergency department (ED) with severe lower back pain. The pain radiated to both of his legs and was associated with fever, weight loss, and malaise. The differential diagnosis for this patient was broad. A POCUS was performed at the bedside and revealed bilateral iliopsoas abscesses. This finding was then confirmed by computed tomography. Conclusion: In this case report we will discuss how to identify an iliopsoas abscess using POCUS in ED patients, and the utility of POCUS to facilitate an expedited diagnosis.
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Sakurai, Mikio, Hiroki Nagasawa, Ikuto Takeuchi, and Youichi Yanagawa. "A Case of an 80-Year-Old Man with Empyema and Psoas Abscess." Case Reports in Emergency Medicine 2020 (October 24, 2020): 1–4. http://dx.doi.org/10.1155/2020/8895785.

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An 80-year-old man with flu symptoms collapsed at his house and had a backache worsened over time. His family called for an ambulance. On arrival, chest X-ray showed reduced permeability of the right lung field, and truncal computed tomography (CT) suggested right multilobular empyema and right iliopsoas abscess. A blood test showed an acute inflammatory response. The patient underwent right small thoracotomy for empyema and ultrasonic-guided drainage for the right iliopsoas abscess and started the administration of antibiotics. We started the administration of doripenem by intravenous drip and then deescalated to ampicillin based on the culture results. Streptococcus intermedius was cultured from all sites. Following these treatments for three months, his general condition improved. We herein report a unique case of complicated empyema and iliopsoas abscess in which a favorable outcome was obtained by an appropriate diagnosis and treatment. Reports of multiple abscesses have been increasing recently because of the growing geriatric population and aging-related complications. It is important to search the whole body to detect multiple abscesses in cases where an abscess is detected at a single site.
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Horiuchi, Atsushi, Kazuhiro Kameoka, Jun Kuwabara, et al. "Neonatal iliopsoas abscess." Pediatrics International 54, no. 5 (2012): 712–14. http://dx.doi.org/10.1111/j.1442-200x.2012.03593.x.

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Fuchita, Yuichiro, Hirokazu Toyoshima, Chiaki Ishiguro, and Hiroyuki Tanaka. "Successful treatment of a unique case of solitary primary iliopsoas abscess caused by Streptococcus dysgalactiae subspecies equisimilis: A case report." Medicine 103, no. 13 (2024): e37602. http://dx.doi.org/10.1097/md.0000000000037602.

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Rationale: Iliopsoas abscess, mainly caused by Staphylococcus aureus, occurs via the bloodstream or spread from adjacent infected organs. Although a few cases regarding primary iliopsoas abscess caused by Streptococcus dysgalactiae subspecies equisimilis (SDSE) with accompanying disseminated foci have been reported to date, there has been no case report on solitary primary iliopsoas abscess caused by SDSE. Patient concerns: An 85-year-old Japanese woman presented with worsening right hip pain and fever after an exercise. Hip computed tomography revealed a right iliopsoas abscess (iliac fossa abscess), and intravenous cefazolin was started as a treatment based on the creatinine clearance level on admission. Diagnoses: Blood cultures were positive for β-hemolytic Lancefield group G gram-positive cocci arranged in long chains, which were identified as SDSE by matrix-assisted laser desorption/ionization. No other disseminated foci were found upon performing whole computed tomography and transthoracic echocardiography. The patient was diagnosed with an SDSE solitary iliopsoas abscess. Interventions: The antimicrobial was appropriately switched to intravenous ampicillin on day 2, with the dosage adjusted to 2 g every 6 hours based on the preadmission creatinine clearance, followed by oral amoxicillin (1500 mg, daily). Outcomes: The abscess disappeared without drainage on day 39, and the patient remained disease-free without recurrence or sequelae during a 6-month follow-up period. Lessons: SDSE can cause a solitary primary iliopsoas abscess, which can be successfully treated with an appropriate dose of antimicrobials without draining the abscess.
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Dissertations / Theses on the topic "Iliopsoas abscess"

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Hu, Sung-Yuan, and 胡松原. "The Clinical Analysis of Iliopsoas Muscle Abscess." Thesis, 2003. http://ndltd.ncl.edu.tw/handle/84777773131301811806.

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碩士<br>中山醫學大學<br>醫學研究所<br>91<br>Abstract Subject: We reviewed the serial cases of the iliopsoas muscle abscess (IPA) and discuss the management and prognosis of the IPA during the last 6 years at the emergency department of Veterans General Hospital in Taichung. Patients and methods: According the ICD No. (728.9), there were 51 patients diagnosed to have the IPA by clinical manifestations, laboratory studies and imaging survey during the last 6 years (from June, 1996 to June, 2002). Results: There were 51 patients enrolled in our analysis by clinical manifestations, laboratory studies and imaging survey. 30 patients (58.8%) were male and 21 patients (41.2%) were female. The age ranged from 35 to 87 (62.9+/-12.7) years. The admission length of stay was from 1 to 79 (25.9+/-17.1) days. The most common chief complaint was pain or weakness of lower limbs found in 38 patients (74.5%). The clinical classic triad of IPA, pain, lower limb weakness and/or deformity combined with fever of unknown origin, was found in 16 patients (31.4%). Laboratory data revealed leukocytosis (70.6%) with left shift (75.0%) and bandemia (11.8%), anemia (66.7%), increased blood urea nitrogen (BUN) (34.8%), increased creatinine (Cr) (30.0%) and elevated alkaline phosphatase (62.5%). The most common microorganisms in pus tissue cultures were Gram-positive cocci found in 14 patients (50.0%) of 28 patients with positive findings of pus/tissue cultures. The Gram-positive coccus included 9 patients (32.1%) with the infection of Staphylococcus. The second most common microorganisms were Gram-negative bacilli found in 11 patients (39.3%) of 28 patients with positive findings of pus tissue cultures. The positive rate of blood culture was 50%, found in 20 of 40 patients who had blood cultures. 37 patients (72.5%) received management via surgical intervention by laparotomy and/or PCD under US-/CT-guidance, plus the treatment with intravenous antibiotics, according to the culture data of blood and/or pus tissue. The remaining 14 patients (27.5%) received conservative medical treatment with intravenous antibiotics only, according to the culture data of blood and/or pus tissue. There were 45 patients (88.2%) who survived after treatment and 6 patients (11.8%) expired. The mortality rate in the group of medical treatment (21.4%) was significant higher than that in the group of surgical intervention (8.1%). Conclusion: Our report revealed that there were only 31.4% demonstrating the clinical triad of IPA, including fever, limping and pain, similar to previous reports of 30%~50%. The most common microorganism of pus/tissue culture was Gram-positive coccus (50.0%), and Staphylococcus is the leading microorganism (32.1%), which is lower than previous reports of 44.4%~95%. The positive rate of blood culture was 50%, found in 20 of 40 patients receiving blood cultures, which is higher than previous reports of 42%. The management included surgical debridement, US-/CT-guidance PCD, plus intravenous antibiotics, or conservative medical treatment with intravenous antibiotics only. The survival rate was 88.2% and 6 patients (11.8%) expired. The mortality rate was similar to previous reports of 2.5~25%. We find that old age, anemia, high BUN and Cr were poor prognostic factors for the IPA and the mortality rate is higher in the conservative group in this study. Suggestion: In a patient with a suspected IPA who reveals abnormal content on the iliopsoas muscle imaging, abscess should be considered. Early diagnosis and prompt aggressive treatment for reducing the mortality rate should be informative, especially for the primary care physician in the emergency department. According to the chief complaint, past history, underlying disease, physical examination, laboratory data, imaging survey and the result of bacterial culture, we build up the clinical pathway of diagnosis, management and follow-up for the IPA. Key words: abscess, diagnosis, iliopsoas muscle, management, prognosis
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Book chapters on the topic "Iliopsoas abscess"

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Engel, Jamie L., and Jibanananda Satpathy. "Iliopsoas Abscess." In Musculoskeletal Infections. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-41150-3_18.

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Al-Salem, Ahmed H. "Iliopsoas Abscess." In Anal and Perianal Conditions in Children. Springer Nature Switzerland, 2025. https://doi.org/10.1007/978-3-031-87001-9_16.

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Erb, Larson, and Pamela A. Lipsett. "Iliopsoas abscess." In Schlossberg's Clinical Infectious Disease, edited by Cheston B. Cunha. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780190888367.003.0073.

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This chapter examines iliopsoas abscess (IPA), which is a rare condition defined by a collection of purulence in the iliopsoas muscle compartment. IPA is classified in two distinct varieties based upon the etiology of the disease. IPA can be either primary wherein the infection spreads via a hematogenous or lymphatic route, or secondary when it is a contiguous extension of another infection—most often musculoskeletal, intraabdominal, or genitourinary. Symptoms can consist of a classic triad of back/flank pain, fever, and a limp on ambulation (flexion deformity), however all three are rarely present and more generalized symptoms of malaise and weight loss may be present. The common presentation with more vague and general symptoms often leads to a delay in diagnosis and treatment that significantly worsens associated morbidity and mortality. Early and effective management is key to a successful recovery.
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Sechi, Elia, and Dean M. Wingerchuk. "Rapidly Progressive Numbness and Weakness After Soft-Tissue Abscess." In Mayo Clinic Cases in Neuroimmunology, edited by Andrew McKeon, B. Mark Keegan, and W. Oliver Tobin. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780197583425.003.0002.

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A previously healthy 45-year-old man had development of neck pain and swelling, followed 1 week later by fevers, chills, and night sweats. Cervical computed tomography showed a left-sided cervical soft-tissue abscess. The patient was treated with oral cephalexin for 10 days, without benefit. Fine-needle aspiration biopsy of the mass showed granulomatous inflammation and a heterogeneous lymphocyte population without evidence of malignancy. Meropenem and gentamicin were started. Ten days later, he had development of acute urinary retention, numbness and weakness in the lower extremities, and numbness in the upper extremities. At symptom nadir 2 days later, he required the aid of a walker to ambulate. Lhermitte sign and erectile dysfunction were also present. The patient was admitted to the hospital. Spinal cord magnetic resonance imaging showed a longitudinally extensive, nonenhancing, T2-hyperintense lesion predominantly affecting the ventral and lateral parenchyma of the cervical and thoracic spinal cord. Cerebrospinal fluid examination showed a white blood cell count of 581 cells/µL with 42% neutrophils, 35% lymphocytes, and 22% monocytes, increased protein concentration (109 mg/dL), and normal glucose concentration. A diagnosis of postinfectious idiopathic transverse myelitis was made. The patient was treated with intravenous immunoglobulin, intravenous methylprednisolone, and broad-spectrum antibiotics, with improvement of both the abscess and his neurologic symptoms. After discharge, he was able to walk unassisted. At follow-up evaluation 6 months after the initial evaluation, neurologic examination showed only mild weakness of the left iliopsoas muscle and brisk reflexes in the lower extremities. Acute transverse myelopathies are a heterogeneous group of spinal cord disorders characterized by acute or subacute signs and symptoms of spinal cord dysfunction, typically a combination of sensory, motor, and autonomic manifestations. Underlying causes include vascular, infectious, neoplastic, postirradiation, traumatic, and inherited/metabolic, and inflammatory processes.
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Conference papers on the topic "Iliopsoas abscess"

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Sepalika, H. M. S., M. D. Dinuka, and C. D. K. Dasanayaka. "Care of an Adult Patient who underwent a Series of Surgical Interventions for Psoas Abscess Complications with Haemophilia: Case Report." In SLIIT INTERNATIONAL CONFERENCE ON ADVANCEMENTS IN SCIENCES AND HUMANITIES [SICASH]. Faculty of Humanities and Sciences, SLIIT, 2022. http://dx.doi.org/10.54389/uwhq1396.

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Psoas abscess is a collection of pus in the Iliopsoas muscle compartment. Haemophilia is an inherited congenital bleeding disorder with a lack of clotting factors. Patients with haemophilia commonly bleed in joints and muscles and experience delayed wound healing. Keywords: Psoas Abscess, Haemophilia, Vacuumdressing, Ileostomy,Sigmoidectomy
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MELO, ELISA FERNANDES DE, RAYLANE SHELLYDA DE ALMEIDA ANATE, VINICIUS VERLANGIERI SOUBIHE, et al. "SYSTEMIC ERYTHEMATOSUS LUPUS TRIGGERED BY AN ILIOPSOAS ABSCESS DUE TO TUBERCULOSIS." In 36º Congresso Brasileiro de Reumatologia. Editora Blucher, 2019. http://dx.doi.org/10.5151/sbr2019-267.

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Knoploch, Brunno Bastos, Sebastião Dutra de Morais Júnior, Kassio Covre, et al. "DOENÇA DE CROHN COM FÍSTULA E ABSCESSO DO ILIOPSOAS COMO PRIMEIRA MANIFESTAÇÃO." In 70° Congresso Brasileiro de Coloproctologia. Thieme Revinter Publicações Ltda., 2022. http://dx.doi.org/10.1055/s-0043-1764569.

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Boccia, A., I. Capriglione, G. Martone, et al. "P-61 Salmonella spondylodiscitis and iliopsoas abscesses in a patient with HIV." In Abstracts from the 16° Italian Conference on AIDS and Antiviral Research. BMJ Publishing Group Ltd, 2024. http://dx.doi.org/10.1136/sextrans-icar-2024.172.

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