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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Microbiology and outcome of iliopsoas abscess in 124 patients
Medicine, Volume 88, No. 2, Year 2009
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Description
To describe the microbiology and outcome of iliopsoas abscess (IPA) in a large case series, we analyzed 124 cases of IPA collected from 1990 through 2004 in 11 hospitals in Spain. Twenty-seven (21.8%) patients had primary and 97 (78.2%) had secondary IPA. The main sources of infection were bone (50.5%), gastrointestinal tract (24.7%), and urinary tract (17.5%). A definitive microbial diagnosis was achieved in 93 (75%) cases. Abscess culture was the most frequent procedure leading to microbial diagnosis, followed by blood cultures. Staphylococcus aureus, Escherichia coli, and Bacteroides species were the most frequent microbial causes: S. aureus was the most common organism in patients with primary abscesses (42.9%) and with abscesses of skeletal origin (35.2%), whereas E. coli was the leading organism in those with abscesses of urinary (61.5%) and gastrointestinal (42.1%) tracts. Mycobacterium tuberculosis was found in 15 patients, 4 of them associated with human immunodeficiency virus (HIV) infection. Twenty (21.5%) cases had polymicrobial infections; these were more common among patients with abscesses of gastrointestinal origin. Information on clinical outcome was available for 120 patients; 19 (15.8%) had a relapse and 6 (5%) died due to complications related to the IPA. Patients who died were older and more likely to have bacteremia and E. coli isolated from cultures.In conclusion, secondary IPA is more prevalent than primary IPA. Among those with secondary IPA, most abscesses are secondary to a skeletal source. A bacterial etiology can be identified in most cases. The overall prognosis of patients with this condition is good. © 2009 Lippincott Williams & Wilkins.
Authors & Co-Authors
Ramos-Rincón, José Manuel
Spain, Elche
Hospital General Universitario de Elche
Pérez-Arellano, José Luís
Spain, Las Palmas de Gran Canaria
Complejo Hospitalario Universitario Insular Materno-infantil
Gutieŕrez, Félix
Spain, Elche
Hospital General Universitario de Elche
Statistics
Citations: 117
Authors: 3
Affiliations: 8
Identifiers
Doi:
10.1097/MD.0b013e31819d2748
ISSN:
00257974
Research Areas
Infectious Diseases
Study Approach
Qualitative