García GA, Ung LP, Misiara AAE, Jenki DD, Jiménez VY

Language: Spanish
References: 12
Page: 277-285
PDF size: 385.82 Kb.

ABSTRACT

The abscess of the iliac psoas muscle uses to be the infrequent cause of unknown origin fever in healthy patients. Nevertheless, its incidence increases in patients who carry debilitating diseases as diabetes mellitus. The case presented deals with a female diabetic patient showing fiver of unknown origin already for six months, with final diagnosis of psoas abscess. The patient, aged 57 years, has type I diabetes mellitus, complicated with bilateral obstructive lithiasic uropathy and reiterative urinary infections. At the age of 33, she was operated of pyonephrosis and right renal abscess secondary to ascendant urinary infection by Klebsiella pneumoniae. She was operated again for recidivist abscess to Klebsiella, acquired through the urinary tract, but this time it was an abscess contiguous to left iliac psoas muscle, after a six-month evolution period of unknown origin fever. The unusualness of this case consists in the recidivism of deep retroperitoneal abscesses by Klebsiella and the insidious presentation form of the current psoas abscess.

REFERENCES

1. 1- Farreras-Rozman. Medicina Interna. 13ra ed. La Habana: Editorial Ciencias Médicas; 2011. T. 6. p. 2572-7.

2. 2- Rodríguez Silva H, Roca Campaña V. Fiebre de origen desconocido. Dilema diagnóstico. Rev Cubana Medicina [Internet]. 2006 [citado 5 ene 2015];45(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232006000400008

3. 3- Guías de práctica clínica. Diabetes mellitus tipo 2. La Habana: Editorial Ciencias Médicas; 2012.

4. 4- Campillo López F, Martín Sánchez J. Absceso de psoas: una aproximación a la cojera aguda de origen infeccioso. Rev Pediatr Aten Primaria [Internet]. 2014 [citado 5 ene 2015];16(63). Disponible en: http://scielo.isciii.es/scielo.php?pid=S1139-76322014000400007&script=sci_arttext

5. 5- Fernández-Ruiz M, Estébanez-Muñoz M López-Medrano F, Aguado José M. Absceso del músculo iliopsoas, tratamiento y evolución en una serie de 35 pacientes. Enfer Infecc Microbiol Clín [Internet]. 2012 [citado 5 ene 2015];30(6). Disponible en: http://www.elsevier.es/es-revista-enfermedades-infecciosas-microbiologia-clinica-28-articulo-absceso-del-musculo-iliopsoas-tratamiento-90142200

6. 6- Ticse R, Melgarejo W, Fuentes-Dávila A, Ortiz J, Zegarra J. Presentación atípica de piomiositis tropical difusa de psoas por staphylococcus aureus meticilino resistente. Rev Perú Med Exp Salud Pública [Internet]. 2012 [citado 5 ene 2015];29(1). Disponible en: http://www.scielo.org.pe/scielo.php?pid=S1726-46342012000100020&script=sci_arttext

7. 7- García Apac C. Staphylococcus aureus meticilino resistente adquirido en la comunidad. Acta Méd Peruana [Internet]. 2011 [citado 5 ene 2015];28(3). Disponible en: http://www.scielo.org.pe/scielo.php?pid=S1728-59172011000300007&script=sci_arttext

8. 8- Liu C, Bayer A, Cosgrove SE, Daum RS, Fridkin SK, Gorwitz RJ, et al. Clinical practice guidelines by the infectious diseases society of America for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children: executive summary. Clin Infect Dis [Internet]. 2011 [citado 5 ene 2015];52(3). Disponible en: http://cid.oxfordjournals.org/content/early/2011/01/04/cid.ciq146.short

9. 9- Corral M, Hernández M, Godoy N, et al. Absceso del psoas: un desafío para el internista. Argentina. Rev Méd Rosario. 2010;76:29-33.

10. 10- López-Zabala I, García Ramiro S, Bori G, Gallart X, Tomás X, Fuster D, et al. Absceso de psoas asociado a infección de una artroplastia de cadera. Rev Esp Quimioter [Internet]. 2013 [citado 5 ene 2015];26(3). Disponible en: http://seq.es/seq/0214-3429/26/3/lopez.pdf

11. 11- Chang CM, Ko WC, Lee HC, Chen YM, Chuang YC. Klebsiella pneumoniae psoas abscess: predominance in diabetic patients and grave prognosis in gas-forming cases. J Microbiol Immunol Infect. 2001; 34:201-6. Citado en PubMed; PMID: 11605812.

12. 12- Kaasch AJ, Fowler VG, Rieg S, Peyerl-Hoffmann G, Birkholz H, Hellmich M, et al. Use of a simple criteria set for guiding echocardiography in nosocomial Staphylococcus aureus bacteremia. Clin Infect Dis. 2011; 53:1-9. Citado en PubMed; PMID: 21653295.