Ilio-Psoas Abscess in A Neonate

Alexander Andreou; Aikaterini Karasavvidou; Frederica Papadopoulou; Apostolos Koukoulidis

doi:10.1055/s-2007-994326

American Journal of Perinatology, Table of Contents

Am J Perinatol 1997; 14(9): 519-521
DOI: 10.1055/s-2007-994326

ORIGINAL ARTICLE

Ilio-Psoas Abscess in A Neonate

Alexander Andreou, Aikaterini Karasavvidou, Frederica Papadopoulou, Apostolos Koukoulidis

Neonatal Department, Department of Pediatric Radiology and Department of Orthopedic Surgery, Hippocration General Hospital of Thessaloniki, Thessaloniki, Greece

Abstract

ABSTRACT

A full-term, small-for-gestational-age, neonate was born 4 days after rupture of the membranes. On the 5th day of life, she developed sepsis due to Klebsiella pneumoniae. On the 1 8th day of life, the right hip was noted swollen with limited range of motion, but it was painless on passive movements. Ultrasonography revealed abscess of the right ilio-psoas muscle with normal appearance of the right hip joint. Surgical incision and drainage and antibiotic administration resulted in a gradual full recovery. Ultrasonography can confirm the diagnosis of this exceptional clinical entity in neonates, which is difficult to differentiate from septic arthritis of the hip.

Keywords

Psoas abscess - sepsis - neonates

Full Text