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并非每个婴儿腰部肿胀都是肾肿块:婴儿罕见的腰大肌脓肿表现。

Every loin swelling in an infant is not a renal mass: rare presentation of psoas abscess in an infant.

机构信息

Advanced Pediatrics Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Advanced Pediatrics Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India

出版信息

BMJ Case Rep. 2020 Nov 9;13(11):e237137. doi: 10.1136/bcr-2020-237137.

DOI:10.1136/bcr-2020-237137
PMID:33168533
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7654129/
Abstract

Primary iliopsoas abscess (IPA) in infants is an uncommon condition. It presents as inguinal or thigh swelling with limitation of movements on the affected side. Early detection and timely drainage of the abscess can prevent serious complications related to the dissemination of infection. We report a case of primary IPA due to methicillin-sensitive staphylococcal infection presenting as a left lumbar mass in an immune-competent infant. The abscess was detected in time, drained surgically and treated with cloxacillin for 4 weeks, thereby preventing serious complications.

摘要

婴儿原发性髂腰肌脓肿(IPA)是一种罕见的疾病。其表现为腹股沟或大腿肿胀,患侧活动受限。早期发现和及时引流脓肿可以预防与感染扩散相关的严重并发症。我们报告了一例因甲氧西林敏感葡萄球菌感染引起的原发性 IPA,表现为免疫功能正常婴儿的左侧腰部肿块。该脓肿及时被发现,通过手术引流,并使用氯唑西林治疗 4 周,从而预防了严重并发症。

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本文引用的文献

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Primary Iliopsoas Abscess in an Infant: A Case Report.婴儿原发性髂腰肌脓肿:一例报告
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Neonatal Iliopsoas Abscess: The First Korean Case.新生儿髂腰肌脓肿:首例韩国病例
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Neonatal ilio-psoas abscess: report of two cases.新生儿髂腰肌脓肿:两例报告。
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Iliopsoas abscess in an infant.婴儿髂腰肌脓肿
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Neonatal iliopsoas abscess.新生儿髂腰肌脓肿。
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Psoas abscess with associated septic arthritis of the hip in infants.婴儿的腰大肌脓肿伴髋关节化脓性关节炎。
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