Atypical presentation of pyogenic iliopsoas abscess in two cases.

Iliopsoas abscess (IPA) is an uncommon diagnosis in medical wards. Herein, we present two unusual cases of IPA. First patient was an elderly diabetic patient who had gas-forming bilateral IPA caused by Escherichia coli. This infection proved fatal and patient succumbed on third day of hospital admission. Second patient was a young boy who had right sided sacroilitis with IPA. Staphylococcus aureus was isolated from the pus culture and patient was successfully treated without any sequelae.

[1]  Shun-Ping Cheng,et al.  Gas-Forming Iliopsoas Abscess: A Klebsiella Pneumoniae-Mediated Invasive Syndrome. , 2016, The Journal of emergency medicine.

[2]  E. Loh,et al.  Features and treatment modality of iliopsoas abscess and its outcome: a 6-year hospital-based study , 2013, BMC Infectious Diseases.

[3]  J. L. Pérez Arellano,et al.  Microbiology and Outcome of Iliopsoas Abscess in 124 Patients , 2009, Medicine.

[4]  T. Deltombe,et al.  Pyrexia due to pyogenic sacroiliitis with iliopsoas abscess after spinal cord injury , 2004, Spinal Cord.

[5]  T. Rajendran,et al.  Iliopsoas abscesses , 2004, Postgraduate Medical Journal.

[6]  B. Onile,et al.  A REVIEW OF PSOAS ABSCESS , 2004 .

[7]  G. Hofmann,et al.  Psoas Abscess: The Spine as a Primary Source of Infection , 2003, Spine.

[8]  İ. Koçak,et al.  Psoas Abscess as a Complication of Pyogenic Sacroiliitis: Report of a Case , 2002, Surgery Today.

[9]  W. Ko,et al.  Klebsiella pneumoniae psoas abscess: predominance in diabetic patients and grave prognosis in gas-forming cases. , 2001, Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi.

[10]  C. Fung,et al.  Fulminating gas-forming psoas muscle abscess due to Klebsiella pneumoniae following a deep neck infection. , 1997, Journal of the Formosan Medical Association = Taiwan yi zhi.

[11]  M. Schein,et al.  Psoas muscle abscess associated with pyogenic sacroiliitis. , 1996, The European journal of surgery = Acta chirurgica.

[12]  E. Fishman,et al.  Primary vs secondary iliopsoas abscess. Presentation, microbiology, and treatment. , 1995, Archives of surgery.

[13]  A. A. Osman,et al.  Septic Sacroiliitis , 1995, Clinical orthopaedics and related research.

[14]  W. H. Yang,et al.  Gas-forming infection of the urinary tract: an investigation of fermentation as a mechanism. , 1990, The Journal of urology.

[15]  P. Clark.  Infection and diabetes: The case for glucose control , 1982 .

[16]  M. Frank,et al.  Pyogenic sacroiliitis: diagnosis, management and clinical outcome , 2014, Skeletal Radiology.

[17]  E. Schulte,et al.  General Anatomy And Musculoskeletal System, Latin Nomenclature (Thieme Atlas Of Anatomy) , 2010 .

[18]  A. Apisarnthanarak,et al.  Rapidly Fatal Gas-Forming Pyogenic Psoas Abscess Caused by Klebsiella pneumoniae , 2007 .