Abstract
Background
The insidious onset and occult characteristic of psoas abscess can cause diagnostic delays, resulting in high mortality and morbidity rates. Here, we investigated the characteristics of psoas abscess in hemodialysis patients.
Methods
This study was carried out in eight patients with psoas abscess who were admitted in our hospital. The clinical data were retrospectively collected.
Results
The frequency of polycystic kidney disease as the primary cause of end-stage kidney disease was significantly higher in the hemodialysis patients with psoas abscess (25.0%) than in prevalent Japanese hemodialysis patients (3.4%, P = 0.028). All patients had a preceding infection (discitis in two, blood access-related infections in two, colitis in two, infection of a hematoma in the kidney in one, and endocarditis in one). Seven patients survived, while the remaining one patient died.
Conclusion
Psoas abscess could be a complication of discitis, blood access infection and colitis in hemodialysis patients. The frequency of polycystic kidney disease as the primary cause of ESKD was significantly higher in the hemodialysis patients with psoas abscess than in prevalent Japanese hemodialysis patients. We should consider psoas abscess as a possibility in hemodialysis patients with infection of unknown cause, especially in patients with polycystic kidney disease.
This is a preview of subscription content, log in via an institution to check access.
References
Mallick IH, Thoufeeq MH, Rajendran TP (2004) Iliopsoas abscesses. Postgrad Med J 80(946):459–462
Dovas S, Liakopoulos V, Simopoulou T et al (2008) Psoas abscess in a dialysis patient with dialysis-related amyloidosis. Int Urol Nephrol 40(2):543–546
Japanese Society for Dialysis Therapy (2009) An overview of regular dialysis treatment in Japan as of December 31 2008. Tokyo, pp 1–22
Desandre AR, Cottone FJ, Evers ML (1995) Iliopsoas abscess: etiology, diagnosis, and treatment. Am Surg 61(12):1087–1091
Kato A, Takahashi T, Watanabe T et al (2001) Psoas abscess with osteomyelitis in a patient undergoing long-term hemodialysis. Am J Nephrol 21(5):410–412
Tillman BF, Gibson RL, Stone WJ (1987) Psoas abscess in chronic dialysis patients. J Urol 137(3):489–490
Kikuchi S, Muro K, Yoh K et al (1999) Two cases of psoas abscess with discitis by methicillin-resistant Staphylococcus aureus as a complication of femoral-vein catheterization for haemodialysis. Nephrol Dial Transplant 14(5):1279–1281
Lin CJ, Lin HC, Wu CJ et al (2008) Psoas muscle abscess as a complication of femoral vein catheterization in a hemodialysis patient. South Med J 101(5):566–567
Gupta S, Seith A, Sud K et al (2000) CT in the evaluation of complicated autosomal dominant polycystic kidney disease. Acta Radiol 41(3):280–284
Pourfarziani V, Mousavi-Nayeeni SM, Ghaheri H et al (2007) The outcome of diverticulosis in kidney recipients with polycystic kidney disease. Transplant Proc 39(4):1054–1056
Agrawal SN, Dwivedi AJ, Khan M (2002) Primary psoas abscess. Dig Dis Sci 47(9):2103–2105
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sato, M., Iwasa, Y., Otsubo, S. et al. Psoas abscess in hemodialysis patients. Int Urol Nephrol 42, 1113–1116 (2010). https://doi.org/10.1007/s11255-009-9656-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11255-009-9656-4