Çocuklarda Ateş Yüksekliğinin Nadir Bir Sebebi: Psoas Absesi

Psoas absesi infant ve çocuklarda nadir görülen, şüphelenilmediği taktirde tanısı geç konan bir durumdur. Oluş mekanizmasına göre primer ve sekonder olarak sınıflandırılır. Spesifik bir başvuru semptomu yoktur. Tanı ve tedavideki gecikmeler morbidite ve mortaliteye yol açmaktadır. Bu çalışmada; odağı bilinmeyen ateş yüksekliği nedeniyle 10 gün dış merkezde ampirik antibiotik tedavisi verilen, şikayetinin geçmemesi nedeniyle hastanemize yönlendirilen, çekilen ultrasonografi ve bilgisayarlı tomografide psoas absesi saptanıp USG eşliğinde perkütan drenaj uygulanan, uygun antibioterapi ile birlikte başarılı bir şekilde tedavi edilen 17 aylık kız hasta sunulmuştur.

Anahtar Kelimeler:

psoas absesi, çocuk, ateş

Psoas abcess is an uncommon condition in infants and children. If not suspected, its diagnose is delayed. It is described as primary and secondary abcess according to the pathogenesis. The presenting symptoms are nonspecific. Delay in the diagnosis and treatment leads to significant morbidity and mortality. In this study, a 17-month old female patient who had been treated with ampiric antibiotherapy for 10 days for fever of unknown origin in another hospital and who had been referred to our instutition due to the persistance of her symptoms has been presented. Psoas abcess was diagnosed on ultrasonograpy and computer tomography. She was successfully treated with prompt ultrasonography-guided percutaneus drainage and antibiotherapy.

Keywords:

psoas abcess, child, fever,

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