Meltem Songür KODİK, Murat ERSEL

Example of an infectious complication in injection drug users: Psoas abscess

In this case report, the authors aim to present a psoas abscess of an injection drug user. These patients mostly admit to emergency department (ED) because of infections with unknown origin. Because of the obscure symptoms of the infection it is a challenge to diagnose for clinicians. A 26-year-old female who had drug addiction problem, and also under treatment for this problem, admitted with obscure infectious symptoms to ED. Physical examination revealed a pain located in the right coxae radiating to the knee. Computed tomography images of the right hip demonstrated a psoas abscess.

İntravenöz uyuşturucu kullanan hastalardaki enfeksiyöz komplikasyonlara bir örnek: Psoas absesi

Bu olgu sunumunda intravenöz uyuşturucu kullanan bir hastada gelişen psoas absesi sunulmaktadır. Bu hastalar sıklıkla acil servise sebebi bilinmeyen enfeksiyonlar nedeniyle başvururlar. Enfeksiyonun belirsiz semptomları nedeniyle klinisyenler için tanı koyması zordur. Yirmi altı yaşında ilaç bağımlılığı olan ve bu sebeple tedavi gören kadın hasta, bilinmeyen enfeksiyöz semptomlar ile acil servise başvurmuştur. Fizik muayenede sağ koksadan dize kadar yayılan ağrı ortaya çıktı. Sağ kalçaya yönelik çekilen bilgisayarlı tomografide psoas absesi saptandı.

PDF

___

1. Schoener EP, Hopper JA, Pierre JD. Injection drug use in North America. Infect Dis Clin North Am 2002;16(3):535-51.

2. Cherubin CE, Sapira JD. The medical complications of drug addiction and the medical assessment of the intravenous drug user: 25 years later. Ann Intern Med 1993:119(10):1017-28.

3. Mallick IH, Thoufeeq MH, Rajendran TP. Iliopsoas abscesses. Postgrad Med J 2004;80(946):459-62.

4. Mückley T, Schütz T, Kirschner M, et al. Psoas abscess: The spine as a primary source of infection. Spine 2003;28(6):E106-13.

5. Ricci MA, Rose FB, Meyer KK. Pyogenic psoas abscess: Worldwide variations in etiology. World J Surg 1986;10(5):834-43.

6. Navarro López V, Ramos JM, Meseguer V, et al. Microbiology and outcome of iliopsoas abscess in 124 patients. Medicine (Baltimore) 2009;88(2):120-30.

7. Lin MF, Lau YJ, Hu BS, et al. Pyogenic psoas abscess: Analysis of 27 cases. J Microbiol Immunol Infect 1999;32(4):261-8.

8. Lee YT, Lee CM, Su SC, et al. Psoas abscess: A 10 year review. J Microbiol Immunol Infect 1999;32(1):40-6.

9. Orangio GR, Pitlick SD, Della Latta P, et al. Soft tissue infections in parenteral drug abusers.Ann Surg 1984;199(1):97-100.

10. Henriksen BM, Albrektsen SB, Simper LB, et al. Soft tissue infections from drug abuse. A clinical and microbiological review of 145 cases. Acta Orthop Scand 1994;65(6):625-8.