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EM-2. Primary pyogenic psoas abscess: a case report.

Primary pyogenic psoas muscle abscess is a rare and potentially lethal clinical entity and presents a significant diagnostic challenge. The clinical presentation of a psoas muscle abscess often mimics that of other more common disease manifestations. We present a primary pyogenic psoas muscle abscess in a 6-year-old boy that presented to our Emergency Department with hip pain and fever. Computed tomography scanning confirmed a primary psoas abscess, as well as mild hydronephrosis due to right ureteral obstruction. The appropriate antibiotics were started early, and he was treated conservatively with long-term IV antibiotics. Physicians should consider psoas abscess when evaluating children with acute antalgic gait or hip pain.

Robert M. Gullinese, MD, and David A. Fritz, MD. Department of Emergency Medicine, Scott and White Memorial Hospital, Temple, TX. Texas A & M School of Medicine.
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Title Annotation:Section on Emergency Medicine
Author:Fritz, David A.
Publication:Southern Medical Journal
Article Type:Brief Article
Date:Oct 1, 2004
Words:133
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