Psoas abscess: Difference between revisions
| Line 19: | Line 19: | ||
==Treatment== | ==Treatment== | ||
* | *[[Antibiotics]] | ||
**Vancomycin + | **[[Vancomycin]] + | ||
**One of the following | **One of the following | ||
***Piperacillin/tazobactam 3.375g, OR | ***Piperacillin/tazobactam 3.375g, OR | ||
***Ceftriaxone + Metronidazole | ***[[Ceftriaxone]] + Metronidazole | ||
*Surgical consultation | *Surgical consultation | ||
Revision as of 07:56, 3 March 2014
Background
- Psoas muscle is susceptible to infection from distant sites due to rich blood supply, proximity to overlying retroperitoneal lymphatic channels
- S. aureus is most common pathogen (80%)
DDX
Diagnosis
Clinical Features
- Abdominal pain radiating to hip, flank
- Pain with thigh flexion (esp against resistance)
- Limp
- Fever
- Nausea
Workup
- CT is imaging study of choice
Treatment
- Antibiotics
- Vancomycin +
- One of the following
- Piperacillin/tazobactam 3.375g, OR
- Ceftriaxone + Metronidazole
- Surgical consultation
Source
- Tintinalli