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Case report
Every loin swelling in an infant is not a renal mass: rare presentation of psoas abscess in an infant
  1. Dilip Kumar Venkatesan,
  2. Himanshi Chaudhary and
  3. Sanjay Verma
  1. Advanced Pediatrics Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Sanjay Verma; sanjay06verma{at}yahoo.com

Abstract

Primary iliopsoas abscess (IPA) in infants is an uncommon condition. It presents as inguinal or thigh swelling with limitation of movements on the affected side. Early detection and timely drainage of the abscess can prevent serious complications related to the dissemination of infection. We report a case of primary IPA due to methicillin-sensitive staphylococcal infection presenting as a left lumbar mass in an immune-competent infant. The abscess was detected in time, drained surgically and treated with cloxacillin for 4 weeks, thereby preventing serious complications.

  • infections
  • paediatrics (drugs and medicines)
  • infectious diseases
  • tropical medicine (infectious disease)
  • infant health

https://doi.org/10.1136/bcr-2020-237137

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    Footnotes

    • Contributors DV: Patient management, conception and design, draft of manuscript, final approval of the version published, agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. HC: Patient management, conception and design, draft of manuscript, final approval of the version published, agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. SV: Patient management, conception and design draft of manuscript, final approval of the version published, revising it critically for important intellectual content, agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. He will act as guarantor for the paper.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer-reviewed.