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A case report of a septic hip secondary to a psoas abscess.

By:

Dala-Ali, BM

Contributor(s):

Publication details: 2010Uniform titles:

Journal of orthopaedic surgery and research

Online resources:

Summary: Psoas abscess was first described by Mynter in 1881. Though rare, its prevalence is increasing with advances in radiology and an increasing ability to accurately diagnose the condition. The symptoms of a psoas abscess can be insidious and nonspecific, and patients often present with a limp, fever, weight loss, and flank or abdominal pain.A psoas abscess can be classified as either primary or secondary depending on the presence or absence of an underlying disease. Primarypsoas abscess has become more prevalent in the developed world, especially in immuno-compromised patients.We present the case of a 48 year old man who presented with fever, left hip pain and difficulty weight-bearing. He had a past medical history of chronic renal failure secondary to hypertension. Following laboratory, radiological and microbiological analyses the patient was diagnosed as having a Staphylococcus Aureus hip sepsis secondary to a psoas abscess.Psoasabscess should be included as a differential diagnosis in all patients presenting with hip pain and constitutional symptoms. The case is discussed with reference to the literature.

Holdings
Item type	Home library	Collection	Class number	Status	Date due	Barcode
Book	Ferriman information and Library Service (North Middlesex) Shelves	Staff publications for NMDX		Available

NMUH Staff Publications

Psoas&nbsp;abscess&nbsp;was first described by Mynter in 1881. Though rare, its prevalence is increasing with advances in radiology and an increasing ability to accurately diagnose the condition. The symptoms of a&nbsp;psoas&nbsp;abscess&nbsp;can be insidious and nonspecific, and patients often present with a limp, fever, weight loss, and flank or abdominal pain.A&nbsp;psoas&nbsp;abscess&nbsp;can be classified as either primary or&nbsp;secondary&nbsp;depending on the presence or absence of an underlying disease. Primarypsoas&nbsp;abscess&nbsp;has become more prevalent in the developed world, especially in immuno-compromised patients.We present the&nbsp;case&nbsp;of a 48 year old man who presented with fever, left&nbsp;hip&nbsp;pain and difficulty weight-bearing. He had a past medical history of chronic renal failure&nbsp;secondary&nbsp;to hypertension. Following laboratory, radiological and microbiological analyses the patient was diagnosed as having a Staphylococcus Aureus&nbsp;hip&nbsp;sepsis&nbsp;secondary&nbsp;to a&nbsp;psoas&nbsp;abscess.Psoasabscess&nbsp;should be included as a differential diagnosis in all patients presenting with&nbsp;hip&nbsp;pain and constitutional symptoms. The&nbsp;case&nbsp;is discussed with reference to the literature.

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