tailieunhanh - báo cáo hóa học:" A case report of a septic hip secondary to a psoas abscess"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : A case report of a septic hip secondary to a psoas abscess | Dala-Ali et al. Journal of Orthopaedic Surgery and Research 2010 5 70 http content 5 1 70 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH CASE REPORT Open Access A case report of a septic hip secondary to a psoas abscess Benan M Dala-Ali1 Mary-Anne Lloyd2 Satish B Janipireddy1 Henry D Atkinson1 Abstract 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. Primary psoas 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. Psoas abscess 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. Introduction A psoas abscess is a collection of pus within the psoas muscle compartment 1 . It is rare in the developed world but its detection is increasing mainly due to advancements in radiology. These abscesses can be classified as primary the infection originating in the psoas space or secondary as a result of direct extension from the adjacent organs 2 . We describe the case of a primary psoas abscess in a patient with chronic renal failure in whom the infection spread to the hip joint leading to a septic arthritis. Case Report A 48-year-old .