title: Iliopsoas abscess and spondylodiscitis by Staphylococcus aureus: successful clinical treatment.
abstract: Although pyogenic abscess of the iliopsoas muscle is considered an uncommon condition, its incidence is on the increase. This abscess may be primary if it occurs without a causal factor; more frequently, it is secondary to gastrointestinal or genitourinary affections, or trauma. The main aetiological agents differ among primary (Staphylococcus aureus) and secondary (Escherichia coli, Klebsiella spp, Streptococcus spp, Bacteroides spp) abscess. We report the case of a 64-year-old man with iliopsoas abscess by S. aureus associated with spondylodiscitis in lumbar vertebrae (L4-L5). Our aim is to emphasize the successful treatment with exclusive intravenous antimicrobials, and highlight the role of control through imaging studies and laboratory tests.
authors.affiliation: Department of Internal Medicine, Armed Forces Hospital, Brasilia-DF, Brazil.
authors.forename: V M
authors.initials: VM
authors.lastname: dos Santos
authors.forename: C E
authors.initials: CE
authors.lastname: Silva Leao
authors.forename: F H
authors.initials: FH
authors.lastname: Borges Santos
authors.forename: C A
authors.initials: CA
authors.lastname: Fastudo
authors.forename: R L
authors.initials: RL
authors.lastname: Machado Lima
mesh_terms: D015299:Discitis / Q000188:drug therapy* / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016659:Psoas Abscess / Q000188:drug therapy* / Q000382:microbiology*; D012074:Remission Induction; D013203:Staphylococcal Infections / Q000150:complications* / Q000188:drug therapy*