Psoas abscess with associated septic arthritis of the hip in infants.
We describe psoas abscess with concomitant septic hip arthritis in 2 infants, 3 and 7 months old. The common clinical features were a palpable mass in the inguinal region, irritable hip, and delayed treatment. The diagnosis of septic hip was delayed in one child, and they both had residual hip deformity at follow-up. It is possible that initial delay in diagnoses resulted in the concurrent pathologic condition because of spread of infection. These 2 cases demonstrate the first known reports of concurrent psoas abscess and septic hip arthritis in infancy. Magnetic resonance imaging is a valuable method to identify these concurrent pathologic conditions. A proposed etiologic mechanism is also discussed in the article.
Department of Pediatric Orthopaedics, Shengjing Hospital, China Medical University, Shenyang, 110004, China.
Enbo
E
Wang
Lili
L
Ma
Eric W
EW
Edmonds
Qun
Q
Zhao
Lijun
L
Zhang
Shijun
S
Ji
D000038:Abscess / Q000150:complications / Q000188:drug therapy / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D002370:Casts, Surgical; D002443:Ceftriaxone / Q000627:therapeutic use; D003131:Combined Modality Therapy; D057210:Delayed Diagnosis; D004322:Drainage; D005260:Female; D005269:Femur / Q000473:pathology; D005334:Fever / Q000209:etiology; D006621:Hip Joint / Q000382:microbiology / Q000473:pathology*; D006801:Humans; D007223:Infant; D016916:Joint Deformities, Acquired / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D016659:Psoas Abscess / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D012782:Shoulder; D013203:Staphylococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D040521:Subcutaneous Tissue
D000900:Anti-Bacterial Agents; D002443:Ceftriaxone