‘How to deal with this, that and the other?’ An orthopaedic surgeon's unexpected encounter with a trio of problems in an elderly man

• Published in: BMJ case reports Vol. 2014; p. bcr2014206274
• Main Authors: Chen, Yongsheng, Singh, Amritpal, Long, Yiling Angeline, Chee, Yu Han
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 09.11.2014; BMJ Publishing Group
• Series: Case Report
• Subjects: 80 Years; Abscesses; Aged, 80 and over; Antibiotics; Arthroplasty, Replacement, Hip; Asia; Bacteremia - diagnosis; Bacteremia - microbiology; C-Reactive Protein - analysis; Cement; Chinese; Femoral Neck Fractures - surgery; Fractures; Hip joint; Humans; Joint surgery; Male; Orthopedics; Osteoporotic Fractures - surgery; Pain; Psoas Abscess - diagnosis; Psoas Abscess - microbiology; Staphylococcal Infections - diagnosis; Unusual Presentation of More Common Disease/Injury; Urinary tract infections; Urogenital system

This is the first clinical report of a psoas abscess encountered during a routine hemiarthroplasty surgery for a femoral neck fracture in a man with a recent urinary tract infection. There were no prior symptoms to suggest a psoas abscess, which was present on the same side as the hip fracture, apar...