Iliopsoas abscess in child with probably hematogenic etiology: case report

• Autor(a) principal: Soares Dias Duarte, Ana Carolina Muniz
• Data de Publicação: 2007
• Outros Autores: Freitas, Vitor Ferreira, Campos Fernandes, Regina Célia de Souza
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Científica da Faculdade de Medicina de Campos
• DOI: 10.29184/1980-7813.rcfmc.155.vol.2.n2.2007
• Texto Completo: https://www.fmc.br/ojs/index.php/RCFMC/article/view/155
• topic: abscesso de psoas; disseminação hematogênica; dor; psoas abscess; hematogenic dissemination; pain

Introduction: The abscess of psoas is a rare entity in the medical practice, with either primary or secondary etiology.The iliopsoas muscle has a direct relation to the ileocecal junction, the vertebral column and the renal tract, so intestinal diseases, osteomyelitis of the spine and urinary tract infections are the most implied disorders of an abscess of psoas. Clinical diagnosis is difficult due to nonspecific clinical manifestations. The computed tomography is the gold standard method of diagnosis with typical findings since the beginning of symptoms. Objective: To describe a case of iliopsoas abscess in a child with probably hematogenic etiology. Method: Review of medical records. Case report: A 6-year-old girl was admitted with back pain and difficulty for walking since twenty days prior consultation, which was not responsive to the use of anti-inflammatory therapy. She developed fever and received Cephalexin treatment. Without improvement, she was admitted for investigation and she had the diagnosis of iliopsoas abscess confirmed by computed tomography. Conclusions: Although rare the infection of psoas must be remembered in the presence of pain around groin, guarding against hip motion, fever, elevated ESR and CRP and after the evaluation for arthritis was negative.