Psoas abscess: Difference between revisions

(Created page with "==Background== *Psoas muscle is susceptible to infection from distant sites due to: **Rich blood supply **Proximity to overlying retroperitoneal lymphatic channels *S. aureus is ...")
 
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==Background==
==Background==
*Psoas muscle is susceptible to infection from distant sites due to:
*Psoas muscle is susceptible to infection from distant sites due to rich blood supply, proximity to overlying retroperitoneal lymphatic channels
**Rich blood supply
**Proximity to overlying retroperitoneal lymphatic channels
*S. aureus is most common pathogen (80%)
*S. aureus is most common pathogen (80%)



Revision as of 06:42, 22 February 2012

Background

  • Psoas muscle is susceptible to infection from distant sites due to rich blood supply, proximity to overlying retroperitoneal lymphatic channels
  • S. aureus is most common pathogen (80%)

Clinical Features

  • Abdominal pain radiating to hip, flank
  • Pain with thigh flexion (esp against resistance)
  • Limp
  • Fever
  • Nausea

Management

  • CT is imaging study of choice
  • Abx, surgical consultation

Source

  • Tintinalli