Psoas abscess caused by Escherichia coli pyelonephritis, A Case Report

An iliopsoas abscess is a rare accumulation of pus in the iliopsoas muscle compartment and can be divided into primary and secondary abscesses. Considering the rarity and nonspecific symptomatology, as well as the generally insidious subacute onset, a delay in diagnosis and treatment frequently occu...

Full description

Saved in:
Bibliographic Details
Published inRadiology case reports Vol. 17; no. 8; pp. 2693 - 2697
Main Authors Tack, L., Ketels, M., Vanrenterghem, M., Meire, D., Luypaert, E.
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.08.2022
Elsevier
Subjects
Case Report
Escherichia coli
Flank pain
Psoas abscess
Pyelonephritis
Psoas abscess
Pyelonephritis
Escherichia coli
Flank pain
Online AccessGet full text

Cover

More Information
Summary:An iliopsoas abscess is a rare accumulation of pus in the iliopsoas muscle compartment and can be divided into primary and secondary abscesses. Considering the rarity and nonspecific symptomatology, as well as the generally insidious subacute onset, a delay in diagnosis and treatment frequently occurs. We present a case of a 74-year-old woman with a psoas abscess due to an E. coli pyelonephritis. Psoas abscesses resulting from genitourinary tract infections are infrequently described in literature. The aim of this case report is to raise awareness of the nonspecific presentation and the importance of a thorough history and clinical examination to reduce delay in diagnosis. Clinicians should also keep in mind that a psoas abscess is often diagnosed prior to detection of the primary disease and should be attentive for these primary lesions. A follow-up of at least 1 year is recommended due to the reported relapse in 15% to 36% of the cases up to one year after initial presentation.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2022.04.059