Clinical Availability, Diagnosis and Treatment of the Primary Psoas Muscle Abscess
Journal of Korean Society of Spine Surgery
;
: 191-197, 2010.
Article
in Korean
| WPRIM
| ID: wpr-52333
ABSTRACT
STUDY DESIGN:
This is a retrospective study on the clinical availability, diagnosis and treatment of primary psoas muscle abscess.OBJECTIVES:
This study investigated the causes and clinical results of patients with primary psoas muscle abscess. SUMMARY OF LITERATURE REVIEW Primary psoas muscle abscess is not a common disease clinically, but it is a very dangerous disease if the diagnosis and treatment are delayed. MATERIALS ANDMETHODS:
Between October 2003 and February 2010, we investigated the symptoms, pathogens, the associated diseases and treatments of 17 patients (11 males and 6 females; mean age 49.5 years old). We divided patients into the 3 groups According to the treatment options (Group 1 antibiotics alone, Group 2 percutaneous catheter drainage, Group 3 open drainage) and the correlation of the abscess size of each group was analyzed by the Kruskall Wallis method.RESULTS:
The most common complaint was lower back pain (14 patients). Staphylococcus aureus was the most common infectious organism (12 patients). All the patients were treated with broad spectrum antibiotics. Group 1 was composed of 4 patients and the average size of the abscess was 2.3cm (range 1.2~4.5cm). Group 2 was composed of 7 patients and the average size of the abscess was 7.4cm (range 3.8~12.2cm). Group 3 was composed of 6 patients and the average size of the abscess was 8.1cm (range 6.1~14.7cm). There was a significant correlation of the abscess size between each group. (p=0.0007)CONCLUSIONS:
The patients diagnosed with primary psoas muscle abscess complained about lower back pain, a febrile sense and gastrointestinal symptoms. Most of the primary psoas muscle abscesses are pyogenic infections. We have to use broad-spectrum antibiotics for the initial treatment. When the occasion demands, additional treatment like percutaneous catheter drainage and open drainage should be considered.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Staphylococcus aureus
/
Drainage
/
Retrospective Studies
/
Psoas Muscles
/
Low Back Pain
/
Abscess
/
Catheters
/
Anti-Bacterial Agents
Type of study:
Diagnostic study
/
Observational study
Limits:
Humans
/
Male
Language:
Korean
Journal:
Journal of Korean Society of Spine Surgery
Year:
2010
Type:
Article
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