Sri Lankan Journal of Infectious Diseases (Oct 2021)

Psoas abscess caused by probable extended spectrum beta lactamase (ESBL) producing <em>Escherichia coli</em>: A Case Report

  • J. A. L. U. Kumara,
  • G. W. D. Somasiri,
  • D. M. Mendis,
  • C. N. Wijesinghe,
  • W. D. Galagedara,
  • A. M. Abeygunasekara,
  • S. Mendis,
  • N. S. Chandrasiri

DOI
https://doi.org/10.4038/sljid.v11i2.8408
Journal volume & issue
Vol. 11, no. 2
pp. 126 – 130

Abstract

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Iliopsoas abscess (IPA) is a collection of pus in the iliopsoas muscle. It is rare and usually presents with vague symptoms. IPA can be either primary or secondary. An IPA was diagnosed by computed tomography (CT) in a 64-year-old male with diabetes mellitus and chronic kidney disease (CKD) who presented with a limp. Pus specimen from IPA yielded non-lactose fermenting Escherichia coli which is rarely isolated from IPA. The isolate was sensitive to meropenem and treated with intravenous meropenem for 4 weeks. Source control was achieved by ultrasound scan-guided aspiration of the abscess.

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