Psoas abscess

From IDWiki

Background

Microbiology

Pathophysiology

  • May be primary, from hematogenous or lymphatic spread, or secondary, from direct spread from an adjacent infection (hip, GI tract, spine, aorta, GU tract)

Clinical Manifestations

  • May present with pain or mass effect

Management

  • Empiric antibiotics to cover MSSA or MRSA and GI flora, tailored based on culture results
  • Drainage
  • Duration of 3 to 6 weeks after drainage likely reasonable