TY  - BOOK
AU  - Dala-Ali, BM.
AU  - Lloyd, MA.
AU  - Janipereddy, S.,B.
AU  - Atkinson, H.D.
TI  - A case report of a septic hip secondary to a psoas abscess
PY  - 2010///
N1  - NMUH Staff Publications; 5
N2  - <span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">Psoas</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">abscess</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> 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 </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">psoas</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">abscess</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> can be insidious and nonspecific, and patients often present with a limp, fever, weight loss, and flank or abdominal pain.A </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">psoas</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">abscess</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> can be classified as either primary or </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">secondary</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> depending on the presence or absence of an underlying disease. Primary</span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">psoas</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">abscess</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> has become more prevalent in the developed world, especially in immuno-compromised patients.We present the </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">case</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> of a 48 year old man who presented with fever, left </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">hip</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> pain and difficulty weight-bearing. He had a past medical history of chronic renal failure </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">secondary</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> to hypertension. Following laboratory, radiological and microbiological analyses the patient was diagnosed as having a Staphylococcus Aureus </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">hip</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> sepsis </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">secondary</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> to a </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">psoas</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">abscess</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">.</span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">Psoas</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"></span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">abscess</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> should be included as a differential diagnosis in all patients presenting with </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">hip</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> pain and constitutional symptoms. The </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">case</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> is discussed with reference to the literature.</span&gt
UR  - https://www.ncbi.nlm.nih.gov/pubmed/20846379
UR  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2954928/pdf/1749-799X-5-70.pdf
ER  -