[Psoas abscess. The diagnostic and therapeutic considerations in 5 patients].
Five cases of psoas abscesses are discussed, four pyogenes and one tuberculous, the current etiology of this process, together with its pathogenesis and clinical manifestations are discussed. In all of them the guided punction through Computerized Axial Tomography (CAT) has been the way to diagnose and treat the process. Utility of this technique considering both aspects is discussed because it allows to determine the etiology and avoids the surgical drainage; even tough this therapy should be individualized in each case, probably is in primary staphylococci abscesses where this therapeutic option is best indicated.
de Miguel
J
J
Servicios de Medicina Interna y Radiología, Hospital de Galdácano, Vizcaya.
Miguélez
J L
JL
Mayo
J
J
Collazos
J
J
Martínez
E
E
Marcos
A
A
D000328:Adult; D001442:Bacteroides Infections / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D001441:Bacteroides fragilis; D003131:Combined Modality Therapy; D004927:Escherichia coli Infections / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D005260:Female; D006556:Heroin Dependence / Q000150:complications; D006801:Humans; D008297:Male; D016659:Psoas Abscess / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D011677:Punctures; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D015819:Substance Abuse, Intravenous / Q000150:complications; D014081:Tooth Extraction / Q000009:adverse effects
Absceso de psoas. Consideraciones diagnósticas y terapéuticas en cinco pacientes.