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[酷似髋关节化脓性关节炎的腰大肌脓肿]

[Psoas abscess mimicking septic arthritis of the hip].

作者信息

Strugo R, Tovar R, Zimlichman R

机构信息

Dept. of Medicine, Wolfson Medical Center.

出版信息

Harefuah. 1995 Feb 15;128(4):216-9, 263.

PMID:7744329
Abstract

Primary psoas abscess is a relatively rare and imposes diagnostic and therapeutic challenges. We describe a 16-year-old boy who presented with fever, limp and the clinical picture of septic arthritis of the hip joint. He did not respond to conventional medical treatment. When the diagnosis of psoas abscess was made and the abscess was drained, he gradually recovered. The diagnosis of psoas abscess is frequently missed. Correct diagnosis is very important because usually, cure only follows surgical drainage.

摘要

原发性腰大肌脓肿相对罕见,在诊断和治疗方面都具有挑战性。我们描述了一名16岁男孩,他出现发热、跛行以及髋关节化脓性关节炎的临床表现。他对常规药物治疗没有反应。当诊断为腰大肌脓肿并进行脓肿引流后,他逐渐康复。腰大肌脓肿的诊断常常被漏诊。正确的诊断非常重要,因为通常只有通过手术引流才能治愈。

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