Bilateral iliopsoas abscess presenting with abdominal wall cellulitis and left-sided empyema thoracis: a rare presentation
Iliopsoas abscess is common in immunocompromised patients and rarely presents with empyema thoracis. We present a 26-year-old male with no comorbidities who presented with a 3-day history of abdominal pain, fever and dyspnoea. There was no history of tuberculosis or recent contact with a tuberculous...
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| Veröffentlicht in: | BMJ case reports 2021-10, Vol.14 (10), p.e244697 |
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| creator | Suresh, Chilaka Shaikh, Oseen Hajilal Naik, Mude Naveen Kumbhar, Uday Shamrao |
| description | Iliopsoas abscess is common in immunocompromised patients and rarely presents with empyema thoracis. We present a 26-year-old male with no comorbidities who presented with a 3-day history of abdominal pain, fever and dyspnoea. There was no history of tuberculosis or recent contact with a tuberculous patient. On examination, the patient had facial dysmorphism and abdominal wall cellulitis extending bilaterally from flank to the inguinoscrotal region. Chest X-ray showed a left pleural effusion. Ultrasonography and contrast-enhanced CT also showed bilateral iliopsoas abscess with a left massive pleural empyema. The patient underwent bilateral abscess open drainage, thoracostomy for left empyema thoracis and intravenous antibiotic therapy. The patient had an uneventful course postoperatively and was discharged. |
| doi_str_mv | 10.1136/bcr-2021-244697 |
| format | Article |
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We present a 26-year-old male with no comorbidities who presented with a 3-day history of abdominal pain, fever and dyspnoea. There was no history of tuberculosis or recent contact with a tuberculous patient. On examination, the patient had facial dysmorphism and abdominal wall cellulitis extending bilaterally from flank to the inguinoscrotal region. Chest X-ray showed a left pleural effusion. Ultrasonography and contrast-enhanced CT also showed bilateral iliopsoas abscess with a left massive pleural empyema. The patient underwent bilateral abscess open drainage, thoracostomy for left empyema thoracis and intravenous antibiotic therapy. The patient had an uneventful course postoperatively and was discharged.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2021-244697</identifier><identifier>PMID: 34667038</identifier><language>eng</language><publisher>London: BMJ Publishing Group LTD</publisher><subject>Abdomen ; Abscesses ; Antibiotics ; Case Report ; Case reports ; Cellulitis ; Diabetes ; Edema ; Fever ; Hepatitis ; HIV ; Human immunodeficiency virus ; Inflammatory bowel disease ; Morbidity ; Pain ; Pleural effusion ; Staphylococcus infections ; Thorax ; Tuberculosis ; Ultrasonic imaging ; Urogenital system ; Vertebrae</subject><ispartof>BMJ case reports, 2021-10, Vol.14 (10), p.e244697</ispartof><rights>2021 BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. 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We present a 26-year-old male with no comorbidities who presented with a 3-day history of abdominal pain, fever and dyspnoea. There was no history of tuberculosis or recent contact with a tuberculous patient. On examination, the patient had facial dysmorphism and abdominal wall cellulitis extending bilaterally from flank to the inguinoscrotal region. Chest X-ray showed a left pleural effusion. Ultrasonography and contrast-enhanced CT also showed bilateral iliopsoas abscess with a left massive pleural empyema. The patient underwent bilateral abscess open drainage, thoracostomy for left empyema thoracis and intravenous antibiotic therapy. The patient had an uneventful course postoperatively and was discharged.</description><subject>Abdomen</subject><subject>Abscesses</subject><subject>Antibiotics</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Cellulitis</subject><subject>Diabetes</subject><subject>Edema</subject><subject>Fever</subject><subject>Hepatitis</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Inflammatory bowel disease</subject><subject>Morbidity</subject><subject>Pain</subject><subject>Pleural effusion</subject><subject>Staphylococcus infections</subject><subject>Thorax</subject><subject>Tuberculosis</subject><subject>Ultrasonic imaging</subject><subject>Urogenital system</subject><subject>Vertebrae</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkc9vFSEQx4mxsU3bs1cSL162ZYC37How0cZWkyZeNPFG-NlHwy4rsDb1ry-vrxrrXGbCfPgOwxeh10DOAFh_rk3uKKHQUc77UbxARyA2ohMj-fHyn_oQnZZyS1ow4ANnr9Ah430vCBuO0O-PIarqsoo4xJCWklTBShfjSsFLdsXNNcw3-C7UbTu3aQpzY-9UjNi4GNcYamg3Zouj87UrwTqL3bTcu0nhuk1ZmVDeYYWzyu6PoqohzSfowKtY3OlTPkbfLz99u_jcXX-9-nLx4bozDKB2o-6VJ8QOjDkzMg9eWzEOCownvbeeeLax1BBDtaFea7CU9tpw4glXmgt2jN7vdZdVT86aNr-tK5ccJpXvZVJBPu_MYStv0i85bKgAshN4-ySQ08_VlSqnUHbLq9mltUi6GTgBTgk09M1_6G1ac_uxR4oxEMCGRp3vKZNTKdn5v48BInfWymat3Fkr99ayB6V5mb8</recordid><startdate>20211019</startdate><enddate>20211019</enddate><creator>Suresh, Chilaka</creator><creator>Shaikh, Oseen Hajilal</creator><creator>Naik, Mude Naveen</creator><creator>Kumbhar, Uday Shamrao</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8183-6840</orcidid><orcidid>https://orcid.org/0000-0003-3365-082X</orcidid></search><sort><creationdate>20211019</creationdate><title>Bilateral iliopsoas abscess presenting with abdominal wall cellulitis and left-sided empyema thoracis: a rare presentation</title><author>Suresh, Chilaka ; 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We present a 26-year-old male with no comorbidities who presented with a 3-day history of abdominal pain, fever and dyspnoea. There was no history of tuberculosis or recent contact with a tuberculous patient. On examination, the patient had facial dysmorphism and abdominal wall cellulitis extending bilaterally from flank to the inguinoscrotal region. Chest X-ray showed a left pleural effusion. Ultrasonography and contrast-enhanced CT also showed bilateral iliopsoas abscess with a left massive pleural empyema. The patient underwent bilateral abscess open drainage, thoracostomy for left empyema thoracis and intravenous antibiotic therapy. The patient had an uneventful course postoperatively and was discharged.</abstract><cop>London</cop><pub>BMJ Publishing Group LTD</pub><pmid>34667038</pmid><doi>10.1136/bcr-2021-244697</doi><orcidid>https://orcid.org/0000-0002-8183-6840</orcidid><orcidid>https://orcid.org/0000-0003-3365-082X</orcidid></addata></record> |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Abdomen Abscesses Antibiotics Case Report Case reports Cellulitis Diabetes Edema Fever Hepatitis HIV Human immunodeficiency virus Inflammatory bowel disease Morbidity Pain Pleural effusion Staphylococcus infections Thorax Tuberculosis Ultrasonic imaging Urogenital system Vertebrae |
| title | Bilateral iliopsoas abscess presenting with abdominal wall cellulitis and left-sided empyema thoracis: a rare presentation |
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