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Management of primary iliopsoas abscess in an immunocompetent patient followed by streptococcal toxic shock syndrome: A case report

OBJECTIVES: Clinical diagnosis of iliopsoas abscess can be challenging, as this pathology often presents without obvious focal findings. Iliopsoas abscess should thus be a differential diagnosis for patients presenting with fever of unknown origin. PATIENT AND METHODS: A 62-year-old healthy Japanese...

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Autores principales: Hirooka, Nobutaka, Edo, Naoki, Danbara, Hisanori, Nishimura, Hiroki, Obuchi, Yasuhiro, Tanaka, Yuji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4857322/
https://www.ncbi.nlm.nih.gov/pubmed/27489682
http://dx.doi.org/10.1177/2050313X15575939
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author Hirooka, Nobutaka
Edo, Naoki
Danbara, Hisanori
Nishimura, Hiroki
Obuchi, Yasuhiro
Tanaka, Yuji
author_facet Hirooka, Nobutaka
Edo, Naoki
Danbara, Hisanori
Nishimura, Hiroki
Obuchi, Yasuhiro
Tanaka, Yuji
author_sort Hirooka, Nobutaka
collection PubMed
description OBJECTIVES: Clinical diagnosis of iliopsoas abscess can be challenging, as this pathology often presents without obvious focal findings. Iliopsoas abscess should thus be a differential diagnosis for patients presenting with fever of unknown origin. PATIENT AND METHODS: A 62-year-old healthy Japanese man showed primary iliopsoas abscess of Klebsiella pneumoniae complicated by shock after a complete course of treatment for streptococcal toxic shock syndrome. Successful treatment was achieved with culture-driven antibiotic selection and delayed drainage. RESULTS: This case demonstrates the importance of identifying the causative microorganisms in iliopsoas abscess to guide therapy. The standard treatments for iliopsoas abscess are antibiotics and drainage of the abscess. Management of this case included successful antibiotic use along with delayed drainage. CONCLUSION: This case report advances the knowledge on the etiology of iliopsoas abscess and sheds light on the need for scientific development of a treatment strategy.
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spelling pubmed-48573222016-08-03 Management of primary iliopsoas abscess in an immunocompetent patient followed by streptococcal toxic shock syndrome: A case report Hirooka, Nobutaka Edo, Naoki Danbara, Hisanori Nishimura, Hiroki Obuchi, Yasuhiro Tanaka, Yuji SAGE Open Med Case Rep Case Report OBJECTIVES: Clinical diagnosis of iliopsoas abscess can be challenging, as this pathology often presents without obvious focal findings. Iliopsoas abscess should thus be a differential diagnosis for patients presenting with fever of unknown origin. PATIENT AND METHODS: A 62-year-old healthy Japanese man showed primary iliopsoas abscess of Klebsiella pneumoniae complicated by shock after a complete course of treatment for streptococcal toxic shock syndrome. Successful treatment was achieved with culture-driven antibiotic selection and delayed drainage. RESULTS: This case demonstrates the importance of identifying the causative microorganisms in iliopsoas abscess to guide therapy. The standard treatments for iliopsoas abscess are antibiotics and drainage of the abscess. Management of this case included successful antibiotic use along with delayed drainage. CONCLUSION: This case report advances the knowledge on the etiology of iliopsoas abscess and sheds light on the need for scientific development of a treatment strategy. SAGE Publications 2015-03-23 /pmc/articles/PMC4857322/ /pubmed/27489682 http://dx.doi.org/10.1177/2050313X15575939 Text en © The Author(s) 2015 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(http://www.uk.sagepub.com/aboutus/openaccess.htm).
spellingShingle Case Report
Hirooka, Nobutaka
Edo, Naoki
Danbara, Hisanori
Nishimura, Hiroki
Obuchi, Yasuhiro
Tanaka, Yuji
Management of primary iliopsoas abscess in an immunocompetent patient followed by streptococcal toxic shock syndrome: A case report
title Management of primary iliopsoas abscess in an immunocompetent patient followed by streptococcal toxic shock syndrome: A case report
title_full Management of primary iliopsoas abscess in an immunocompetent patient followed by streptococcal toxic shock syndrome: A case report
title_fullStr Management of primary iliopsoas abscess in an immunocompetent patient followed by streptococcal toxic shock syndrome: A case report
title_full_unstemmed Management of primary iliopsoas abscess in an immunocompetent patient followed by streptococcal toxic shock syndrome: A case report
title_short Management of primary iliopsoas abscess in an immunocompetent patient followed by streptococcal toxic shock syndrome: A case report
title_sort management of primary iliopsoas abscess in an immunocompetent patient followed by streptococcal toxic shock syndrome: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4857322/
https://www.ncbi.nlm.nih.gov/pubmed/27489682
http://dx.doi.org/10.1177/2050313X15575939
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