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[Psoas abscess in children based on a series of 18 cases].
Prog Urol. 2003 Dec; 13(6):1372-5.PU

Abstract

OBJECTIVE

Psoas abscess is very rare in children and raises problems concerning the clinical and aetiological diagnosis. The authors describe the characteristics of this rare disease and emphasize the role of imaging in the diagnostic approach and therapeutic management.

MATERIAL AND METHOD

The authors report a series of 18 cases children aged 11 months to 13 years treated between 1988 and 2000 in the Monastir department of paediatric surgery. The time to diagnosis ranged from 4 days to 1 month. The clinical features comprised fever, abdominal pain and functional impairment of the homolateral lower limb in 17 cases.

RESULTS

Ultrasound was performed systematically and established the diagnosis in 17 cases. Computed tomography, performed in 13 cases, confirmed the diagnosis and demonstrated the aetiology in 3 cases. The microorganism was isolated in 16 cases (Staphylococcus aureus in 13 cases). An aetiology was identified in 4 cases: acute appendicitis, Potts disease, sacro-iliitis and perirenal abscess. Treatment comprised systematic antibiotic therapy combined with drainage of the abscess in 16 cases, which was performed surgically in 4 cases and percutaneously in 12 cases.

CONCLUSION

The prognosis of psoas abscess in children is generally favourable. CT- or ultrasound-guided percutaneous drainage is a valuable alternative to surgery, which must be reserved for cases of failure of percutaneous drainage.

Authors+Show Affiliations

Belgith M
Service de Chirurgie pédiatrique, Hôpital Fattouma Bourguiba, Monastir, Tunisie.
Ben Brahim M
No affiliation info available
Jouini R
No affiliation info available
Boudhina N
No affiliation info available
Mekki M
No affiliation info available
Nouri A
No affiliation info available

MeSH

AdolescentChildChild, PreschoolFemaleHumansInfantMalePsoas Abscess

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

15000317

Citation

Belgith, Mohsen, et al. "[Psoas Abscess in Children Based On a Series of 18 Cases]." Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, vol. 13, no. 6, 2003, pp. 1372-5.
Belgith M, Ben Brahim M, Jouini R, et al. [Psoas abscess in children based on a series of 18 cases]. Prog Urol. 2003;13(6):1372-5.
Belgith, M., Ben Brahim, M., Jouini, R., Boudhina, N., Mekki, M., & Nouri, A. (2003). [Psoas abscess in children based on a series of 18 cases]. Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, 13(6), 1372-5.
Belgith M, et al. [Psoas Abscess in Children Based On a Series of 18 Cases]. Prog Urol. 2003;13(6):1372-5. PubMed PMID: 15000317.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Psoas abscess in children based on a series of 18 cases]. AU - Belgith,Mohsen, AU - Ben Brahim,Mohamed, AU - Jouini,Riadh, AU - Boudhina,Nabil, AU - Mekki,Mongi, AU - Nouri,Abdellatif, PY - 2004/3/6/pubmed PY - 2004/7/28/medline PY - 2004/3/6/entrez SP - 1372 EP - 5 JF - Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie JO - Prog Urol VL - 13 IS - 6 N2 - OBJECTIVE: Psoas abscess is very rare in children and raises problems concerning the clinical and aetiological diagnosis. The authors describe the characteristics of this rare disease and emphasize the role of imaging in the diagnostic approach and therapeutic management. MATERIAL AND METHOD: The authors report a series of 18 cases children aged 11 months to 13 years treated between 1988 and 2000 in the Monastir department of paediatric surgery. The time to diagnosis ranged from 4 days to 1 month. The clinical features comprised fever, abdominal pain and functional impairment of the homolateral lower limb in 17 cases. RESULTS: Ultrasound was performed systematically and established the diagnosis in 17 cases. Computed tomography, performed in 13 cases, confirmed the diagnosis and demonstrated the aetiology in 3 cases. The microorganism was isolated in 16 cases (Staphylococcus aureus in 13 cases). An aetiology was identified in 4 cases: acute appendicitis, Potts disease, sacro-iliitis and perirenal abscess. Treatment comprised systematic antibiotic therapy combined with drainage of the abscess in 16 cases, which was performed surgically in 4 cases and percutaneously in 12 cases. CONCLUSION: The prognosis of psoas abscess in children is generally favourable. CT- or ultrasound-guided percutaneous drainage is a valuable alternative to surgery, which must be reserved for cases of failure of percutaneous drainage. SN - 1166-7087 UR - https://www.unboundmedicine.com/medline/citation/15000317/[Psoas_abscess_in_children_based_on_a_series_of_18_cases]_ DB - PRIME DP - Unbound Medicine ER -