[Psoas abscess and lumbar spine osteomyelitis: case report].
Psoas abscess is a common disease in children. It can have a nonspecific clinical presentation, insidious onset and sometimes fever. The most common type in children is the primary one; however, it can sometimes be of secondary origin and associated with severe infections such as osteomyelitis so a high index of suspicion is required to detect and treat it promptly. We present an unusual case of psoas abscess with infiltration of the vertebral body of L2 in a 14 year old male patient previously healthy with no history of trauma or fever on admission. X-ray and ultrasound were performed but the diagnosis was confirmed by magnetic resonance imaging of the lumbosacral spine. With positive blood cultures for methicillin-resistant Staphylococcus aureus he completed 2 weeks of intravenous antibiotic therapy and 4 weeks of oral antibiotic therapy with blood cultures negativization and resolution of symptoms.
Servicio de Pediatría. Hospital Central de Pediatría Dr. Claudio Zin, Malvinas Argentinas, Buenos Aires. ana_maria_silva@live.com.
Ana M
AM
Silva
Servicio de Ortopedia y Traumatología. Hospital Municipal de Trauma y Emergencias Dr. Federico Abete, Malvinas Argentinas, Buenos Aires.
Lauwence A
LA
Schmalbach
D000293:Adolescent; D006801:Humans; D008159:Lumbar Vertebrae; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus; D010019:Osteomyelitis / Q000150:complications* / Q000382:microbiology*; D016659:Psoas Abscess / Q000150:complications*; D013122:Spinal Diseases / Q000150:complications* / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000150:complications*
Fever; Limp; Low back pain; Psoas abscess; Spine osteomyelitis