Abstract
Abstract
Background
Primary iliopsoas abscess is extremely rare in neonates and overlooked easily. It is potentially curable with surgical drainage and broad-spectrum antibiotics if diagnosed early.
Case presentation
A 13-day-old neonate was presented with a swelling and bluish discoloration on the left thigh and groin. There was a restriction of movement of the left lower limb, and he developed high grade fever later on, during hospital stay. In spite of a great dilemma, we could finally reach the diagnosis of primary iliopsoas abscess, performed surgical drainage, and controlled ongoing sepsis. At 3 months follow-up, the patient was doing well and there was no asymmetry in appearance of movements.
Conclusion
High index of suspicion, vigilant clinical examinations, and targeted laboratory investigations with imaging studies are of paramount importance in establishing its diagnosis. This case highlights the diagnostic difficulties and re-evaluates the representative features of neonatal iliopsoas abscess and its management.
Publisher
Springer Science and Business Media LLC
Subject
Pediatrics, Perinatology, and Child Health,Surgery
Reference8 articles.
1. Han Y-M, Kim A-Y, Lim R-K, Park K-H, Byun S-Y, Kim S-H, et al. Neonatal iliopsoas abscess: the first Korean case. J Korean Med Sci. 2015;30(8):1203–6. https://doi.org/10.3346/jkms.2015.30.8.1203.
2. Nisar MU, Sikander S, Noorain Z, Baig MS, Akhtar N. Primary iliopsoas abscess in a neonate. J Coll Physicians Surg Pak. 2019;29(06):S45–7. https://doi.org/10.29271/jcpsp.2019.06.S45.
3. Al-Zaiem MM, Bajuifer SJ, Fattani MO, Al-Zaiem FM. Bilateral iliopsoas abscess associated with right hip septic arthritis in a neonate. Saudi Med J. 2014;35(7):743–6.
4. Okan F, Ince Z, Coban A, Can G. Neonatal psoas abscess simulating septic arthritis of the hip: a case report and review of the literature. Turk J Pediatr. 2009;51(4):389–91.
5. Chintakrinda AK, Das B, Dogra S, Mitra D. Primary iliopsoas abscess in an infant: a case report. J Indian Assoc Pediatr Surg. 2018;23:222–4.
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