Skip to main content
Log in

Ilio-psoas abscess caused by methicillin-resistant Staphylococcus aureus (MRSA): a rare but potentially dangerous condition in neonates

  • Case Report
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

We report a case of methicillin-resistant Staphylococcus aureus ilio-psoas abscess (IPA) in a neonate. This case has clinical importance because this neonate had toxic shock syndrome-like exanthematous disease, known as NTED, before developing IPA. A high index of suspicion is required for IPA if a neonate presents with limb disuse and fever of unknown origin. Our case required surgical drainage, since ultrasound-guided percutaneous needle aspiration failed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Dib M, Bedu A, Geral C, et al (2000) Ilio-psoas abscess in neonates: treatment by ultrasound-guided percutaneous drainage. Pediatr Radiol 30:677–680

    Article  CAS  PubMed  Google Scholar 

  2. Vasquez LA, Patel S, Saslow JG, et al (1989) Psoas abscess in the neonate. NY State J Med 89:421–422

    CAS  Google Scholar 

  3. Singer J (1993) Neonatal psoas pyomyositis simulating pyoarthrosis of the hip. Pediatr Emerg Care 9:87–89

    CAS  PubMed  Google Scholar 

  4. Prassopoulos PK, Giannkopoulou CA, Apostolaki EG, et al (1998) Primary ilio-psoas abscess extending to the thigh in neonates: US, CT and MRI findings. Pediatr Radiol 28:605–607

    Article  CAS  PubMed  Google Scholar 

  5. Schut JM, Meradji M, Oranje AP, et al (1998) Double-sided psoas abscess in a young infant: sonographic and radiographic findings. Pediatr Radiol 28:176–177

    Google Scholar 

  6. Andreou A, Karasavvidou A, PapadopoulounF, et al (1997) Ilio-psoas abscess in a neonate. Am J Perinatol 14:519–521

    CAS  PubMed  Google Scholar 

  7. Natsume H, Nakanishi T, Nakagawa Y, et al (1997) A case of iliopsoas abscess in a neonate. Acta Pediatr Jpn 39:459–461

    CAS  Google Scholar 

  8. Edgar KA, Schlesinger AE, Royster RM, et al (1993) Ilio-psoas abscess in neonates. Pediatr Radiol 23:51–52

    CAS  PubMed  Google Scholar 

  9. Francois A, Brault D, Lehujeur C, et al (1992) Rubrique iconographique: abces du psoas neonatal stimulant une arthrite de hanche. Arch Fr Pediatr 49:55–56

    CAS  PubMed  Google Scholar 

  10. Lucas AP, Carneiro R, Viegas M, et al (1997) Ilio-psoas abscess in the neonate. Eur J Pediatr Surg 7:186–187

    CAS  PubMed  Google Scholar 

  11. Takahashi N, Nishida H, Kato H, et al (1998) Exanthematous disease induced by toxic shock syndrome toxin-1 in the early neonatal period. Lancet 351:1614–1619

    Article  CAS  PubMed  Google Scholar 

  12. Malhotra R, Singh KD, Bhan S, Dave PK (1992) Primary pyogenic abscess of the psoas muscle. J Bone Jt Surg Am 74:278–284

    CAS  Google Scholar 

  13. Parbhoo A, Govender S (1992) Acute pyogenic psoas abscess in children. J Pediatr Orthop 12:663–666

    CAS  PubMed  Google Scholar 

  14. Kang M, Gupta S, Gulati M, et al (1998) Iliopsoas abscess in the pediatric population: treatment by US-guided percutaneous drainage. Pediatr Radiol 28:478–481

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Atsuyuki Yamataka.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Okada, Y., Yamataka, A., Ogasawara, Y. et al. Ilio-psoas abscess caused by methicillin-resistant Staphylococcus aureus (MRSA): a rare but potentially dangerous condition in neonates. Ped Surgery Int 20, 73–74 (2004). https://doi.org/10.1007/s00383-003-1088-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-003-1088-0

Keywords

Navigation