• J. Pediatr. Surg. · Dec 2010

    Case Reports

    Psoas abscess with associated septic arthritis of the hip in infants.

    • Enbo Wang, Lili Ma, Eric W Edmonds, Qun Zhao, Lijun Zhang, and Shijun Ji.
    • Department of Pediatric Orthopaedics, Shengjing Hospital, China Medical University, Shenyang, 110004, China.
    • J. Pediatr. Surg. 2010 Dec 1; 45 (12): 2440-3.

    AbstractWe describe psoas abscess with concomitant septic hip arthritis in 2 infants, 3 and 7 months old. The common clinical features were a palpable mass in the inguinal region, irritable hip, and delayed treatment. The diagnosis of septic hip was delayed in one child, and they both had residual hip deformity at follow-up. It is possible that initial delay in diagnoses resulted in the concurrent pathologic condition because of spread of infection. These 2 cases demonstrate the first known reports of concurrent psoas abscess and septic hip arthritis in infancy. Magnetic resonance imaging is a valuable method to identify these concurrent pathologic conditions. A proposed etiologic mechanism is also discussed in the article.Copyright © 2010. Published by Elsevier Inc.

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