title: Ilio-psoas abscess in neonates: treatment by ultrasound-guided percutaneous drainage.
abstract: Ilio-psoas abscess is rare in neonates and is usually treated by surgical drainage. We report two cases of ilio-psoas abscess in 15- and 21-day-old infants successfully treated by US-guided percutaneous drainage as a supplement to antibiotic therapy. Clinical improvement was observed within 24-48 h of drainage and subsequent imaging demonstrated resolution of the abscess cavity. The analysis of these cases and of those previously reported indicates that imaging is essential for diagnosis. In neonates, US-guided percutaneous drainage may represent the first-choice treatment of this disease in association with antibiotic therapy.
authors.affiliation: Service de Néonatologie, Hôpital Robert Debré, Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Dib
authors.forename: A
authors.initials: A
authors.lastname: Bedu
authors.forename: C
authors.initials: C
authors.lastname: Garel
authors.forename: K
authors.initials: K
authors.lastname: Mazda
authors.forename: P
authors.initials: P
authors.lastname: Philippe-Chomette
authors.forename: M
authors.initials: M
authors.lastname: Rajguru
authors.forename: M
authors.initials: M
authors.lastname: Hassan
authors.forename: Y
authors.initials: Y
authors.lastname: Aujard
mesh_terms: D000367:Age Factors; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D004322:Drainage; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007262:Infusions, Intravenous; D016659:Psoas Abscess / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000601:surgery*; D014463:Ultrasonography
chemical_list: D000900:Anti-Bacterial Agents