■腰大肌脓肿是一种相对罕见的疾病,可以表现出模糊的临床特征。患有这种疾病的患者通常以不同的方式出现在不同的专科,导致诊断和管理延迟。
■作者介绍了一名47岁的女性,主诉腹部模糊疼痛,发烧,接受CT检查的炎症标志物升高。在CT上,在右髂窝中发现了一个集合,该集合沿着右腹膜后延伸,穿过右肺基部的后外侧间隙,与具有空气-液体水平的空洞性肺病变连通。腰大肌脓肿被引流。
■我们的案例呈现了许多罕见和有趣的特征。值得注意的是,病人,有免疫能力的人,经历了原发性葡萄球菌感染,迅速发展为相当大的肺脓肿,在这样的宿主中不常见的现象。稀有性进一步延伸到感染源,起源于腹部,但通过腹膜后部位的连续扩散最终导致胸部并发症。尽管潜在的严重性,患者的结果非常积极。
■该病例强调了腰大肌脓肿肺部受累的潜在速度,强调在术前评估期间需要提高对呼吸体征的认识和考虑。
UNASSIGNED: Psoas abscess is a relatively uncommon condition that can present with vague clinical features. Patients with this condition often present in different ways to different specialties leading to delays in diagnosis and management.
UNASSIGNED: The authors present a 47-year-old woman with complaint of vague abdominal pain, fever, and raised inflammatory markers who underwent CT examination. On CT, a collection was noted in the right iliac fossa that extended along the right retroperitoneum through the retrocrural space in the right lung base communicating with a cavitary pulmonary lesion with air-fluid level. The psoas abscess was drained.
UNASSIGNED: Our case presents a number of rare and intriguing features. Notably, the patient, who was immunocompetent, experienced a primary Staphylococcus infection that swiftly progressed to a sizable pulmonary abscess, a phenomenon uncommon in such hosts. The rarity further extends to the source of infection, originating abdominally but culminating in thoracic complications through contiguous spread from a retroperitoneal site. Despite the potential severity, the patient\'s outcome was remarkably positive.
UNASSIGNED: This case underscores the potential rapidity of pulmonary involvement in psoas abscesses, emphasizing the need for heightened awareness and consideration of respiratory signs during preoperative assessments.