BibTex RIS Kaynak Göster
Yıl 2016, Cilt: 3 Sayı: 1, 153 - 156, 11.06.2016

Öz

Psoas abcess is an uncommon condition in infants and children. If not suspected, its diagnose is delayed. It is described as primary and secondary abcess according to the pathogenesis. The presenting symptoms are nonspecific. Delay in the diagnosis and treatment leads to significant morbidity and mortality. In this study, a 17-month old female patient who had been treated with ampiric antibiotherapy for 10 days for fever of unknown origin in another hospital and who had been referred to our instutition due to the persistance of her symptoms has been presented. Psoas abcess was diagnosed on ultrasonograpy and computer tomography. She was successfully treated with prompt ultrasonography-guided percutaneus drainage and antibiotherapy.

Kaynakça

  • Mückley T, Schütz T, Kirschner M, Potulski M, Hofmann G, Bühren V. Psoas abscess: the spine as a primary source of infection. Spine.2003; 28:106-113.
  • Ricci MA, Rose FB, Meyer KK. Pyogenic psoas abscess: worldwide variations in etiology. World J Surg.1986;10:834-843.
  • Santaella RO, Fishman EK, Lipsett PA. Primary vs secondary iliopsoas abscess. Presentation, microbiology, andtreatment. ArchSurg. 1995; 130:1309-1313.
  • NavarroLópez V, Ramos JM, Meseguer V, et al. Microbiology and outcome of iliopsoas abscess in 124 patients. Medicine. 2009; 88:120-130. 5. Lin MF, Lau YJ, Hu BS, Shi ZY, Lin YH. Pyogenic psoas abscess: analysis of 27 cases. J Microbiol Immunol Infect. 1999; 32:261- 268.
  • Mallick IH, Thoufeeq MH, Rajendran TP. Iliopsoas abscesses. Postgrad Med J. 2004; 80:459-462.
  • Kleiner O, Cohen Z, Barki Y, Mares AJ. Unusual presentation of psoas abcess in a child. J Pediatr Surg. 2001;36:1859-1860.
  • Buttaro M, GonzálezDellaValle A, Piccaluga F. Psoas abscess associated with infected total hip arthroplasty. J Arthroplasty. 2002; 17:230-234.
  • Lin SS, Vaccaro AR, Reisch S, Devine M, Cotler JM. Low- velocity gunshot wounds to the spine with an associated transperitoneal injury. J Spinal Disord.1995; 8:136-144.
  • Maron R, Levine D, Dobbs TE, Geisler WM. Two cases of pott disease associated with bilateral psoas abscesses: case report. Spine .2006; 31:561-564.
  • Yacoub WN, Sohn HJ, Chan S, et al. Psoas abscess rarely requires surgical intervention. Am J Surg 2008; 196:223-227.
  • Hsu RB, Lin FY. Psoas abscess in patients with an infected aortic aneurysm. J Vasc Surg. 2007; 46:230-235.
  • Inufusa A, Mikawa Y, Morita I, Fujiwara T. Ruptured abdominal aortic aneurysm associated with a psoas abscess. Arch Orthop Trauma Surg. 2002; 122:306-307.
  • Lee YT, Lee CM, Su SC, Liu CP, Wang TE. Psoas abscess: a 10 year review. J Microbiol Immunol Infect. 1999; 32:40-46.
  • Sham M, Singh D. Neonatal ilio-psoas abcess: Report of two cases. Journal of Neonatal Surgery. 2014;3:4-6.
  • Huang JJ, Ruaan MK, Lan RR, Wang MC. Acute pyogenic iliopsoas abscess in Taiwan: clinical features, diagnosis, treatments and outcome. J Infect. 2000;40:248-255.
  • Ulu-Kilic A, Karakas A, Erdem H, et al. Update on treatment options for spinal brucellosis. Clin Microbiol Infect.2014; 20:75- 82.
  • Chang CM, Ko WC, Lee HC, Chen YM, Chuang YC. Klebsiella pneumoniae psoas abscess: predominance in diabetic patients and grave prognosis in gas-forming cases. J Microbiol Immunol Infect. 2001; 34:201-206.
  • Giladi M, Sada MJ, Spotkov J, Bayer AS. Pneumococcal psoas abscess: report of a case and review of the world literature. Isr J MedSci. 1996; 32:771-774.
  • Dubois D, Robin F, Bouvier D, et al. Streptobacillus moniliformis as the causative agent in spondylodiscitis and psoas abscess after rooster scratches. J Clin Microbiol. 2008; 46:2820-2821.
  • Heyd J, Meallem R, Schlesinger Y, et al. Clinical characteristics of patients with psoas abscess due to non-typhi Salmonella. Eur J Clin Microbiol Infect Dis. 2003; 22:770-773.
  • Katara AN, Shah RS, Bhandarkar DS, Unadkat RJ. Retroperitoneoscopic drainage of a psoas abcess. J Pediatr Surg. 2004;39:4-5.
  • http://edergi.cbu.edu.tr/ojs/index.php/cbusbed isimli yazarın CBU
  • SBED başlıklı eseri bu Creative Commons Alıntı-Gayriticari4.0
  • Uluslararası Lisansı ile lisanslanmıştır.

Çocuklarda Ateş Yüksekliğinin Nadir Bir Sebebi: Psoas Absesi

Yıl 2016, Cilt: 3 Sayı: 1, 153 - 156, 11.06.2016

Öz

Psoas absesi infant ve çocuklarda nadir görülen, şüphelenilmediği taktirde tanısı geç konan bir durumdur. Oluş mekanizmasına göre primer ve sekonder olarak sınıflandırılır. Spesifik bir başvuru semptomu yoktur. Tanı ve tedavideki gecikmeler morbidite ve mortaliteye yol açmaktadır. Bu çalışmada; odağı bilinmeyen ateş yüksekliği nedeniyle 10 gün dış merkezde ampirik antibiotik tedavisi verilen, şikayetinin geçmemesi nedeniyle hastanemize yönlendirilen, çekilen ultrasonografi ve bilgisayarlı tomografide psoas absesi saptanıp USG eşliğinde perkütan drenaj uygulanan, uygun antibioterapi ile birlikte başarılı bir şekilde tedavi edilen 17 aylık kız hasta sunulmuştur.

Kaynakça

  • Mückley T, Schütz T, Kirschner M, Potulski M, Hofmann G, Bühren V. Psoas abscess: the spine as a primary source of infection. Spine.2003; 28:106-113.
  • Ricci MA, Rose FB, Meyer KK. Pyogenic psoas abscess: worldwide variations in etiology. World J Surg.1986;10:834-843.
  • Santaella RO, Fishman EK, Lipsett PA. Primary vs secondary iliopsoas abscess. Presentation, microbiology, andtreatment. ArchSurg. 1995; 130:1309-1313.
  • NavarroLópez V, Ramos JM, Meseguer V, et al. Microbiology and outcome of iliopsoas abscess in 124 patients. Medicine. 2009; 88:120-130. 5. Lin MF, Lau YJ, Hu BS, Shi ZY, Lin YH. Pyogenic psoas abscess: analysis of 27 cases. J Microbiol Immunol Infect. 1999; 32:261- 268.
  • Mallick IH, Thoufeeq MH, Rajendran TP. Iliopsoas abscesses. Postgrad Med J. 2004; 80:459-462.
  • Kleiner O, Cohen Z, Barki Y, Mares AJ. Unusual presentation of psoas abcess in a child. J Pediatr Surg. 2001;36:1859-1860.
  • Buttaro M, GonzálezDellaValle A, Piccaluga F. Psoas abscess associated with infected total hip arthroplasty. J Arthroplasty. 2002; 17:230-234.
  • Lin SS, Vaccaro AR, Reisch S, Devine M, Cotler JM. Low- velocity gunshot wounds to the spine with an associated transperitoneal injury. J Spinal Disord.1995; 8:136-144.
  • Maron R, Levine D, Dobbs TE, Geisler WM. Two cases of pott disease associated with bilateral psoas abscesses: case report. Spine .2006; 31:561-564.
  • Yacoub WN, Sohn HJ, Chan S, et al. Psoas abscess rarely requires surgical intervention. Am J Surg 2008; 196:223-227.
  • Hsu RB, Lin FY. Psoas abscess in patients with an infected aortic aneurysm. J Vasc Surg. 2007; 46:230-235.
  • Inufusa A, Mikawa Y, Morita I, Fujiwara T. Ruptured abdominal aortic aneurysm associated with a psoas abscess. Arch Orthop Trauma Surg. 2002; 122:306-307.
  • Lee YT, Lee CM, Su SC, Liu CP, Wang TE. Psoas abscess: a 10 year review. J Microbiol Immunol Infect. 1999; 32:40-46.
  • Sham M, Singh D. Neonatal ilio-psoas abcess: Report of two cases. Journal of Neonatal Surgery. 2014;3:4-6.
  • Huang JJ, Ruaan MK, Lan RR, Wang MC. Acute pyogenic iliopsoas abscess in Taiwan: clinical features, diagnosis, treatments and outcome. J Infect. 2000;40:248-255.
  • Ulu-Kilic A, Karakas A, Erdem H, et al. Update on treatment options for spinal brucellosis. Clin Microbiol Infect.2014; 20:75- 82.
  • Chang CM, Ko WC, Lee HC, Chen YM, Chuang YC. Klebsiella pneumoniae psoas abscess: predominance in diabetic patients and grave prognosis in gas-forming cases. J Microbiol Immunol Infect. 2001; 34:201-206.
  • Giladi M, Sada MJ, Spotkov J, Bayer AS. Pneumococcal psoas abscess: report of a case and review of the world literature. Isr J MedSci. 1996; 32:771-774.
  • Dubois D, Robin F, Bouvier D, et al. Streptobacillus moniliformis as the causative agent in spondylodiscitis and psoas abscess after rooster scratches. J Clin Microbiol. 2008; 46:2820-2821.
  • Heyd J, Meallem R, Schlesinger Y, et al. Clinical characteristics of patients with psoas abscess due to non-typhi Salmonella. Eur J Clin Microbiol Infect Dis. 2003; 22:770-773.
  • Katara AN, Shah RS, Bhandarkar DS, Unadkat RJ. Retroperitoneoscopic drainage of a psoas abcess. J Pediatr Surg. 2004;39:4-5.
  • http://edergi.cbu.edu.tr/ojs/index.php/cbusbed isimli yazarın CBU
  • SBED başlıklı eseri bu Creative Commons Alıntı-Gayriticari4.0
  • Uluslararası Lisansı ile lisanslanmıştır.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Diğer ID JA46SJ35SG
Bölüm Olgu Sunumu
Yazarlar

Arzu Şencan Bu kişi benim

Gizem Özdemir Bu kişi benim

Yayımlanma Tarihi 11 Haziran 2016
Yayımlandığı Sayı Yıl 2016 Cilt: 3 Sayı: 1

Kaynak Göster

APA Şencan, A., & Özdemir, G. (2016). Çocuklarda Ateş Yüksekliğinin Nadir Bir Sebebi: Psoas Absesi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 3(1), 153-156.
AMA Şencan A, Özdemir G. Çocuklarda Ateş Yüksekliğinin Nadir Bir Sebebi: Psoas Absesi. CBU-SBED. Haziran 2016;3(1):153-156.
Chicago Şencan, Arzu, ve Gizem Özdemir. “Çocuklarda Ateş Yüksekliğinin Nadir Bir Sebebi: Psoas Absesi”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 3, sy. 1 (Haziran 2016): 153-56.
EndNote Şencan A, Özdemir G (01 Haziran 2016) Çocuklarda Ateş Yüksekliğinin Nadir Bir Sebebi: Psoas Absesi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 3 1 153–156.
IEEE A. Şencan ve G. Özdemir, “Çocuklarda Ateş Yüksekliğinin Nadir Bir Sebebi: Psoas Absesi”, CBU-SBED, c. 3, sy. 1, ss. 153–156, 2016.
ISNAD Şencan, Arzu - Özdemir, Gizem. “Çocuklarda Ateş Yüksekliğinin Nadir Bir Sebebi: Psoas Absesi”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 3/1 (Haziran 2016), 153-156.
JAMA Şencan A, Özdemir G. Çocuklarda Ateş Yüksekliğinin Nadir Bir Sebebi: Psoas Absesi. CBU-SBED. 2016;3:153–156.
MLA Şencan, Arzu ve Gizem Özdemir. “Çocuklarda Ateş Yüksekliğinin Nadir Bir Sebebi: Psoas Absesi”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, c. 3, sy. 1, 2016, ss. 153-6.
Vancouver Şencan A, Özdemir G. Çocuklarda Ateş Yüksekliğinin Nadir Bir Sebebi: Psoas Absesi. CBU-SBED. 2016;3(1):153-6.