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Bilateral primary psoas abscesses due to methicillin-resistant Staphylococcus aureus in a neutropenic patient: a case report.
J Med Case Rep. 2016 Jan 19; 10:12.JM

Abstract

BACKGROUND

Pyogenic abscess of psoas muscles is a rare condition. Psoas abscess due to methicillin-resistant Staphylococcus aureus is an emerging and rare infection and so far the related data are scarce.

CASE PRESENTATION

We report the rare case of primary and bilateral large psoas abscesses due to methicillin-resistant Staphylococcus aureus in a 54-year-old Arab Jordanian woman with breast cancer who had neutropenia after starting chemotherapy. She was diagnosed 50 days after onset of symptoms. However, despite this delay in diagnosis and the large size of the abscesses, she had a full recovery. She was treated with antibiotics and percutaneous drainage and was doing very well at a follow up of 18 months.

CONCLUSIONS

Psoas abscess due to methicillin-resistant Staphylococcus aureus might have insidious presentation with extensive disease especially in immunocompromised patients. However, it can be managed effectively with percutaneous catheter drainage and appropriate antibiotic therapy.

Authors+Show Affiliations

Department of Medicine, Division of Infectious Diseases, The University of Jordan, Jordan University Hospital, Amman, 11942, Jordan. fbakri@ju.edu.jo.Department of Radiology Medicine, The University of Jordan, Jordan University Hospital, Amman, Jordan. amshadidy@yahoo.com.Division of Orthopedic Surgery, The University of Jordan, Jordan University Hospital, Amman, Jordan. fadihadidi@yahoo.com.Department of Radiology Medicine, The University of Jordan, Jordan University Hospital, Amman, Jordan. nosryalat@yahoo.com.Department of Radiology Medicine, The University of Jordan, Jordan University Hospital, Amman, Jordan. dr.leena@hotmail.com.Department of General Surgery, The University of Jordan, Jordan University Hospital, Amman, Jordan. nshurbasi@yahoo.com.Department of General Surgery, The University of Jordan, Jordan University Hospital, Amman, Jordan. jmasad@ju.edu.jo.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

26786137

Citation

Bakri, Faris G., et al. "Bilateral Primary Psoas Abscesses Due to Methicillin-resistant Staphylococcus Aureus in a Neutropenic Patient: a Case Report." Journal of Medical Case Reports, vol. 10, 2016, p. 12.
Bakri FG, Hadidy AM, Hadidi F, et al. Bilateral primary psoas abscesses due to methicillin-resistant Staphylococcus aureus in a neutropenic patient: a case report. J Med Case Rep. 2016;10:12.
Bakri, F. G., Hadidy, A. M., Hadidi, F., Ryalat, N., Saket, L., Shurbasi, N., & Melhem, J. (2016). Bilateral primary psoas abscesses due to methicillin-resistant Staphylococcus aureus in a neutropenic patient: a case report. Journal of Medical Case Reports, 10, 12. https://doi.org/10.1186/s13256-015-0781-7
Bakri FG, et al. Bilateral Primary Psoas Abscesses Due to Methicillin-resistant Staphylococcus Aureus in a Neutropenic Patient: a Case Report. J Med Case Rep. 2016 Jan 19;10:12. PubMed PMID: 26786137.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bilateral primary psoas abscesses due to methicillin-resistant Staphylococcus aureus in a neutropenic patient: a case report. AU - Bakri,Faris G, AU - Hadidy,Azmy M, AU - Hadidi,Fadi, AU - Ryalat,Nosaiba, AU - Saket,Lina, AU - Shurbasi,Nour, AU - Melhem,Jamal, Y1 - 2016/01/19/ PY - 2015/02/03/received PY - 2015/12/02/accepted PY - 2016/1/21/entrez PY - 2016/1/21/pubmed PY - 2016/10/27/medline SP - 12 EP - 12 JF - Journal of medical case reports JO - J Med Case Rep VL - 10 N2 - BACKGROUND: Pyogenic abscess of psoas muscles is a rare condition. Psoas abscess due to methicillin-resistant Staphylococcus aureus is an emerging and rare infection and so far the related data are scarce. CASE PRESENTATION: We report the rare case of primary and bilateral large psoas abscesses due to methicillin-resistant Staphylococcus aureus in a 54-year-old Arab Jordanian woman with breast cancer who had neutropenia after starting chemotherapy. She was diagnosed 50 days after onset of symptoms. However, despite this delay in diagnosis and the large size of the abscesses, she had a full recovery. She was treated with antibiotics and percutaneous drainage and was doing very well at a follow up of 18 months. CONCLUSIONS: Psoas abscess due to methicillin-resistant Staphylococcus aureus might have insidious presentation with extensive disease especially in immunocompromised patients. However, it can be managed effectively with percutaneous catheter drainage and appropriate antibiotic therapy. SN - 1752-1947 UR - https://www.unboundmedicine.com/medline/citation/26786137/Bilateral_primary_psoas_abscesses_due_to_methicillin_resistant_Staphylococcus_aureus_in_a_neutropenic_patient:_a_case_report_ DB - PRIME DP - Unbound Medicine ER -