title: Successful medical management of multifocal psoas abscess following cesarean section: report of a case and review of the literature.
abstract: The psoas abscess is a rare complication in obstetric and gynaecology. Two types of psoas abscess are recognized. The primary psoas abscess is generally following haematogenous dissemination of an infectious agent and the source is usually occult. The most frequently isolated pathogen is Staphylococcus aureus. On the other hand, the secondary abscess is the result of local extension of an infectious process near the psoas muscle. We report the case of a patient who develops a bacteremia from an infected cesarean section wound. The complications were thigh and psoas abscesses with left sacroiliitis. Medical management with prolonged antibiotherapy permit clinical, biological and radiological improvement. Although it required a long hospital stay, medical treatment alone was effective. More experience is required to determine which therapeutic option: medical treatment and/or surgery, is the best choice for this type of complication.
authors.affiliation: Université Libre de Brussels, Hôspital Universitaire Erasme, Service de Gynécologie-Obstétrique, 808 Route de Lennik, 1070 Brussels, Belgium. keziban.saylam@ulb.ac.be
authors.forename: K
authors.initials: K
authors.lastname: Saylam
authors.forename: V
authors.initials: V
authors.lastname: Anaf
authors.forename: C
authors.initials: C
authors.lastname: Kirkpatrick
mesh_terms: D000328:Adult; D016470:Bacteremia / Q000209:etiology; D002585:Cesarean Section; D005260:Female; D005334:Fever; D006801:Humans; D007710:Klebsiella Infections / Q000188:drug therapy; D007711:Klebsiella pneumoniae; D008279:Magnetic Resonance Imaging; D010068:Oxacillin / Q000627:therapeutic use; D010406:Penicillins / Q000627:therapeutic use; D011247:Pregnancy; D016659:Psoas Abscess / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D012293:Rifampin / Q000627:therapeutic use; D013203:Staphylococcal Infections; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013530:Surgical Wound Infection / Q000150:complications*; D014057:Tomography, X-Ray Computed
chemical_list: D010406:Penicillins; C031367:temocillin; D010068:Oxacillin; D012293:Rifampin