Articles Vol. 65 No. 3 06/05/2024

32. CLINICAL FEATURES AND RESULTS OF TREATMENT OF PSOAS ABSCESS AT NGUYEN TRI PHUONG HOSPITAL PERIOD 2018-2022

Huynh Thanh Long1,2,3,4, Huynh Nhat Cao Nhan2,4, Nguyen Manh Khiem2,4
1 Nguyen Tat Thanh University;
2 Nguyen Tri Phuong Hospital
3 Trường ĐH Nguyễn Tất Thành;
4 Bệnh viện Nguyễn Tri Phương
Corresponding author: bs.huynhlong1967@gmail.com
DOI: 10.52163/yhc.v65i3.1083
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Keywords
Psoas abscess, drainage surgery.
Abstract

Background: Psoas muscle abscess is a rare medical condition. The clinical symptoms of a secondary psoas abscess are often atypical. This study aims to understand the pathological features to help diagnose and treat early cases of psoas abscess.

Objective: This study describes the clinical and paraclinical characteristics and treatment results of patients with iliopsoas abscesses undergoing intervention.

Methods: Retrospective descriptive study of patients who were diagnosed with psoas abscess and treated at Nguyen Tri Phuong Hospital from January 2018 to December 2022.

Results: In 29 patients, the mean age was 56,8 ± 14,8; ages 25 to 83 years old. Male accounted for 44,8%, female accounted for 55,2%, male:female ratio was 4:5. History of diabetes 65,5%, spondyloarthritis 31,0%. Fever was the most common reason for hospitalization (58,6%). The majority of psoas abscesses are on the right (62,1%), both sides are 6.9%. The result of pus culture was negative 55,2%, most positive for E. Coli (20,7%); There were 2 cases of PCR positive for TB (accounting for 6,9%). The two most used antibiotic regimens were Ceftriaxon + Metronidazole (31,3%) and Carbapenem + Linezolide (17,2%). After surgical intervention, leukocyte index and abscess volume decreased significantly (p<0,05). The average length of hospital stay was 19,7 ± 11,3 days.

Conclusion: Psoas abscess is a complicated disease with atypical clinical symptoms. Surgical drainage of the psoas abscess is important in resolving the infection. However, the treatment of psoas abscess usually involves a long hospital stay.

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