Ilio-psoas abscess in neonates: treatment by ultrasound-guided percutaneous drainage.
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.
Dib
M
M
Service de Néonatologie, Hôpital Robert Debré, Paris, France.
Bedu
A
A
Garel
C
C
Mazda
K
K
Philippe-Chomette
P
P
Rajguru
M
M
Hassan
M
M
Aujard
Y
Y
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
D000900:Anti-Bacterial Agents