PRIMARY ILIOPSOAS ABSCESS IN A NEONATE – A CLOSE DIFFERENTIAL OF SEPTIC ARTHRITIS

Dr Anjali Agrawal, Dr Ashutosh Paldiwal, Dr Vinit Warthe

Abstract


Iliopsoas abscess (IPA) is rare in children but exceptional in neonates. A 14 days old neonate, presented  with diffuse rapidly progressive left groin swelling with restriction of  limb movements along with significantly raised leucocyte count, simulating septic arthritis. Ultrasound was also suggestive of septic arthritis. On further investigations, MRI revealed diagnosis of left iliopsoas muscle abscess. Ultrasound guided percutaneous aspiration was done. Intravenous systemic antibiotics were started. Neonate recovered well and discharged. To conclude, neonatal IPA is extremely rare entity and can easily be overlooked. High index of suspicion is required for its diagnosis in cases where a neonate presents with groin swelling, limited or painful movements of leg and fever. If early, aggressive and adequate treatment is not initiated, there is high risk of mortality or sequelae.


Keywords


Iliopsoas abscess, Neonate, Septic arthritis.

Full Text:

PDF

References


Han YM, Kim AY, Lim RK, Park KH, Byun SY, Kim SH, et al. Neonatal iliopsoas abscess: The first Korean case. J Korean Med Sci 2015; 30:1203-6.

Nisar, M., Sikander, S., Noorain, Z., Baig, M. and Akhtar, N., 2019. Primary Iliopsoas abscess in a neonate. Journal of the College of Physicians and Surgeons Pakistan, 29 (06), S45-S47.

Smedegaard H, Heiring C, Hindso K, Gormsen M, Teilmann G.Hip and thigh swelling at age of 20 days. Neo rev 2015; 16:e664-e7.

Okan F, Ince Z, Coban A, Can G. Neonatal psoas abscess simulating septic arthritis of hip: a case report and review of literature. Turk J Pediatric2009;51:389-91.

Duminda H, Lamahewage A, Liyange A, Fernando D. Iliopsoas abscess due to methicillin resistant staphylococcus aureus in a 26-day-old neonate. Sri Lanka J Child Health 2015; 44:167-8.

Mhatre S, Daga S, Maheshgauri D. Iliopsoas Abscess in a Newborn. Pediatr Oncall J. 2015;12: 19. doi: 10.7199/ped.oncall.2015.9

Saikiran D, Baswaraj T. Case 2: Groin swelling and fever in a 21-day-old girl. Neo Rev 2015; 16:e183-e4.

Dib M, Bedu A, Garel C, Mazda K, Philippe-Chomette P, Rajguru M, et al. Iliopsoas abscess in neonates: Treatment by ultrasound-guided percutaneous drainage. Pediatr Radiol 2000; 30:677-80.


Refbacks

  • There are currently no refbacks.