Psoas abscess: Difference between revisions

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= Psoas abscess =
== Background ==


== Etiology ==
=== Microbiology ===
* Most commonly caused by ''[[Staphylococcus aureus]]''
* [[Tuberculosis]] is a rare cause, as are [[fungi]]


=== Pathophysiology ===
* Most commonly caused by ''Staphylococcus aureus''
* Tuberculosis is a rare cause, as is fungus


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

== Clinical Manifestations ==


* May present with pain or mass effect
* 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

[[Category:Skin and soft tissue infections]]

Latest revision as of 14:53, 3 February 2024

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