Primary psoas abscess
Articol din publicatia Timisoara Medical Journal nr. 4/2004
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Alexandru Crisan, Emilia Nicoara, Karina Bota1, Doru Bordos2
Infectious Diseases Clinic II, 1 Laboratory Department V.Babes Hospital Timisoara, 2 Surgical Clinic II,
Victor Babes University of Medicine and Pharmacy, Timisoara
Background: Psoas abscess is an uncommon clinical entity and presents diagnostic and therapeutic challenges. Clinical diagnosis is difficult because of non-specific symptoms and signs. Materials and Methods: The authors present the case of a 50 years old female patient admitted for fever of unknown origin with repeated sterile blood, urine and stool cultures. Results: The outcome was good with no relapse at one year follow-up. Conclusions: Routine laboratory evaluation is seldom useful for the diagnosis of primary pyogenic psoas abscess. Conventional radiological techniques are often unhelpful. Computed tomography and magnetic resonance imaging are more useful than ultrasonography.
Key Words: psoas abscess, magnetic resonance imaging, b-hemolytic Streptococcus pyogenes.