Atypical Cause of Sepsis from Bilateral Iliopsoas Abscesses Seeded from Self-mutilation: A Case Report.
作者信息
Langberg Sam, Azizi Shayan
机构信息
University of Queensland School of Medicine, Ochsner Clinical School, Department of Emergency Medicine, New Orleans, Louisiana.
Ochsner Health System, Department of Emergency Medicine, Division of Emergency Ultrasound, New Orleans, Louisiana.
出版信息
Clin Pract Cases Emerg Med. 2020 Aug;4(3):432-435. doi: 10.5811/cpcem.2020.5.47020.
INTRODUCTION
An iliopsoas abscess (IPA) is an abscess located adjacent to the iliopsoas and iliacus muscles. Although rare, their variable clinical presentations often lead to a delay in diagnosis.
CASE REPORT
We present a case of sepsis secondary to multiple IPAs that was missed despite multiple healthcare encounters. The patient had no classical risk factors for an IPA, and the abscesses were found to be seeded via hematogenous spread from self-inflicted cutting.
CONCLUSION
This case illustrates the importance of obtaining a complete history, including psychiatric screen, and performing a thorough examination when evaluating patients with low back pain to rule out overlooked sources of bacteremia.
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