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Clinical presentation, etiology, management, and outcomes of iliopsoas abscess from a tertiary care center in South India

INTRODUCTION: Iliopsoas abscess (IPA) is the collection of pus in the iliopsoas compartment. The etiology of IPA is variable and depends on the geographical area and the antibiotic usage prevalence in that area. This study attempts to evaluate the etiology, clinical features, risk factors, managemen...

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Autores principales: Rodrigues, Joanne, Iyyadurai, Ramya, Sathyendra, Sowmya, Jagannati, Manjeera, Prabhakar Abhilash, Kundavaram Paul, Rajan, Sudha Jasmine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5848408/
https://www.ncbi.nlm.nih.gov/pubmed/29564273
http://dx.doi.org/10.4103/jfmpc.jfmpc_19_17
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author Rodrigues, Joanne
Iyyadurai, Ramya
Sathyendra, Sowmya
Jagannati, Manjeera
Prabhakar Abhilash, Kundavaram Paul
Rajan, Sudha Jasmine
author_facet Rodrigues, Joanne
Iyyadurai, Ramya
Sathyendra, Sowmya
Jagannati, Manjeera
Prabhakar Abhilash, Kundavaram Paul
Rajan, Sudha Jasmine
author_sort Rodrigues, Joanne
collection PubMed
description INTRODUCTION: Iliopsoas abscess (IPA) is the collection of pus in the iliopsoas compartment. The etiology of IPA is variable and depends on the geographical area and the antibiotic usage prevalence in that area. This study attempts to evaluate the etiology, clinical features, risk factors, management modalities, and outcomes in patients with IPA from a tertiary care center in South India. MATERIALS AND METHODS: This was a retrospective study done in a tertiary care center in South India. Patient details were obtained from electronic medical records. RESULTS: A total of 43 patients were enrolled in the study, the causative organism could be identified in 20 (46.5%) patients. The most common etiology was tuberculosis (TB). Most (23 [56.5%]) patients were treated conservatively, 20 (46.5%) patients were treated with percutaneous drainage (PCD), and 2 (4%) patients required surgery. CONCLUSION: The most common cause of IPA is TB. PCD was successful in 95% of the patients with complete resolution of symptoms.
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spelling pubmed-58484082018-03-21 Clinical presentation, etiology, management, and outcomes of iliopsoas abscess from a tertiary care center in South India Rodrigues, Joanne Iyyadurai, Ramya Sathyendra, Sowmya Jagannati, Manjeera Prabhakar Abhilash, Kundavaram Paul Rajan, Sudha Jasmine J Family Med Prim Care Original Article INTRODUCTION: Iliopsoas abscess (IPA) is the collection of pus in the iliopsoas compartment. The etiology of IPA is variable and depends on the geographical area and the antibiotic usage prevalence in that area. This study attempts to evaluate the etiology, clinical features, risk factors, management modalities, and outcomes in patients with IPA from a tertiary care center in South India. MATERIALS AND METHODS: This was a retrospective study done in a tertiary care center in South India. Patient details were obtained from electronic medical records. RESULTS: A total of 43 patients were enrolled in the study, the causative organism could be identified in 20 (46.5%) patients. The most common etiology was tuberculosis (TB). Most (23 [56.5%]) patients were treated conservatively, 20 (46.5%) patients were treated with percutaneous drainage (PCD), and 2 (4%) patients required surgery. CONCLUSION: The most common cause of IPA is TB. PCD was successful in 95% of the patients with complete resolution of symptoms. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5848408/ /pubmed/29564273 http://dx.doi.org/10.4103/jfmpc.jfmpc_19_17 Text en Copyright: © 2018 Journal of Family Medicine and Primary Care http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Rodrigues, Joanne
Iyyadurai, Ramya
Sathyendra, Sowmya
Jagannati, Manjeera
Prabhakar Abhilash, Kundavaram Paul
Rajan, Sudha Jasmine
Clinical presentation, etiology, management, and outcomes of iliopsoas abscess from a tertiary care center in South India
title Clinical presentation, etiology, management, and outcomes of iliopsoas abscess from a tertiary care center in South India
title_full Clinical presentation, etiology, management, and outcomes of iliopsoas abscess from a tertiary care center in South India
title_fullStr Clinical presentation, etiology, management, and outcomes of iliopsoas abscess from a tertiary care center in South India
title_full_unstemmed Clinical presentation, etiology, management, and outcomes of iliopsoas abscess from a tertiary care center in South India
title_short Clinical presentation, etiology, management, and outcomes of iliopsoas abscess from a tertiary care center in South India
title_sort clinical presentation, etiology, management, and outcomes of iliopsoas abscess from a tertiary care center in south india
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5848408/
https://www.ncbi.nlm.nih.gov/pubmed/29564273
http://dx.doi.org/10.4103/jfmpc.jfmpc_19_17
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