Every loin swelling in an infant is not a renal mass: rare presentation of psoas abscess in an infant

2020 ◽  
Vol 13 (11) ◽  
pp. e237137
Author(s):  
Dilip Kumar Venkatesan ◽  
Himanshi Chaudhary ◽  
Sanjay Verma
Keyword(s):  
Early Detection ◽  
Renal Mass ◽  
Psoas Abscess ◽  
Staphylococcal Infection ◽  
Rare Presentation ◽  
Iliopsoas Abscess ◽  
Affected Side ◽  
Uncommon Condition ◽  
Thigh Swelling

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.

scholarly journals Bilateral Primary Iliopsoas Abscess with Bilateral Hip Septic Arthritis – A Rare Case Report

2021 ◽  
Vol 11 (10) ◽  
Author(s):  
James C George ◽  
Jishar Sainulabdeen ◽  
Samuel Chittaranjan ◽  
Subin Babu
Keyword(s):  
Septic Arthritis ◽  
Psoas Abscess ◽  
Iliac Vein ◽  
Underlying Disease ◽  
Lower Limbs ◽  
Iliopsoas Abscess ◽  
Rare Case Report ◽  
Disc Bulge ◽  
Sources Of Infection ◽  
Uncommon Condition

Introduction:Iliopsoas abscess is an uncommon condition, often with insidious and nonspecific symptoms. Patients often present with a limp, fever, weight loss, and flank or abdominal pain. An iliopsoas abscess can be either primary or secondary depending on the presence or absence of an underlying disease. Primary abscess is very common in Asia and other developing countries. If untreated, iliopsoas abscess can spread to lower limbs, compress iliac vein, ureter and can end up in sepsis. There have been only a very small number of cases of psoas abscess with associated hip septic arthritis reported so far. Bilateral iliopsoas abscess is also a rare entity. Case Report:We report here a 58-year-old diabetic lady with fever and both hip pain subsequent to a fall at home one month back around one 1 month before. . She was initially seen elsewhere, and a diagnosis of L4-L5 disc bulge was made following which rest , analgesics and steroids were given. Later, repeat magnetic resonance imageMRI showed bilateral Iliacus abscess and bilateral hip synovitis. She was started on anti anti-tuberculosis medications and referred to us. We investigated for occult sources of infection and did bilateral iliopsoas abscess drainage followed by staged bilateral total hip replacement. She now continues to be symptom free. Conclusion: Our patient had primary bilateral iliopsoas abscess with bilateral hip Streptococcus faeeacalis septic arthritis. It has not been reported in the literature till now. Clinical Message:Early diagnosis through meticulous clinical examination and investigations is important in treatment of the abscess and reducing morbidity and mortality. Keywords:Primary iliopsoas abscess, septic arthritis, bilateral iliopsoas abscess.

scholarly journals PAPILLARY CARCINOMA, A METASTASIS OF THE BRAIN AND BONE: A RARE CASE

2020 ◽  
Vol 73 (10) ◽  
pp. 2306-2308
Author(s):  
Volodymyr B. Dobrorodniy ◽  
Anatoliy D. Bedenyuk ◽  
Viktoria G. Khoperiia ◽  
Andriy V. Dobrorodniy
Keyword(s):  
Papillary Carcinoma ◽  
Rare Case ◽  
Cerebral Metastases ◽  
Papillary Thyroid ◽  
Rare Presentation ◽  
Large Size ◽  
Multiple Metastases ◽  
Uncommon Condition ◽  
Metastatic Sites ◽  
The Brain

Cerebral metastases from papillary carcinoma of the thyroid are a very uncommon condition. These metastases almost always involve concomitant lung or bone metastases which may be the first metastatic sites. In a 59-year-old woman found metastases of papillary thyroid cancer (PTC) in the frontal sinus, scapula, multiple bones of the skeleton and lungs. Evaluation confirmed that it is multiple metastases from PTC. This is a very rare presentation with such a large size of metastasis. We present this rare clinical case of massive distal lesions in PTC.

scholarly journals Metastasis in mixed epithelial stromal tumour of the kidney: a rare presentation

2019 ◽  
Vol 12 (9) ◽  
pp. e229293
Author(s):  
Pravin Sambhaji Holkar ◽  
Tarun Jain ◽  
Vikas Kavishwar ◽  
Jayashri Sanjay Pandya
Keyword(s):  
Positron Emission Tomography ◽  
Female Patient ◽  
Radical Nephrectomy ◽  
Renal Mass ◽  
Nodal Metastasis ◽  
Stromal Tumour ◽  
Emission Tomography ◽  
Rare Presentation ◽  
Positron Emission ◽  
Perimenopausal Women

Mixed epithelial stromal tumour of the kidney (MESTK) is a rare genitourinary tract tumour. MESTK is typically seen in perimenopausal women and rarely reported in men and children. MESTK has been included in the WHO renal tumour classification since 2004. Here, we present a case of 50-year-old female patient who underwent left radical nephrectomy for left renal mass. Postoperative positron emission tomography (PET) scan also showed nodal metastasis, for which, she was started on chemotherapy.

scholarly journals Neonatal COVID-19 with Rare Presentation in COVID Dedicated Hospital of Bangladesh: A Case Report

2021 ◽  
Vol 7 (1) ◽  
pp. 87-89
Author(s):  
Rifat Taher Anne ◽  
Md Zakirul Islam ◽  
Farhana Noman ◽  
Ferdousi Hasnat ◽  
Shamima Sharmin Shova ◽  
...  
Keyword(s):  
Case Report ◽  
Early Detection ◽  
Respiratory Distress ◽  
Death Rate ◽  
Neonatal Death ◽  
Clinical Presentation ◽  
Age Groups ◽  
Atypical Presentation ◽  
Rare Presentation ◽  
Recurrent Seizure

Although Coronavirus disease (COVID-19) can affect all age groups, severity of clinical presentation among children and newborns are milder than in adults. Along with classical symptoms, atypical presentation could be noted in the neonate. We report here a case of neonatal COVID-19 where a newborn infant presented with fever, lethargy, respiratory distress and recurrent seizure. Early detection and prompt management is the prerequisite for limiting transmission and reducing neonatal death rate. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 87-89

scholarly journals A rare case report of psoas abscess in pregnancy in a tertiary centre

2021 ◽  
Vol 11 (1) ◽  
pp. 272
Author(s):  
Niranjan N. Chavan ◽  
Umme Ammara ◽  
Zaneta Dias ◽  
Manan Boob
Keyword(s):  
Case Report ◽  
Psoas Abscess ◽  
Spinal Tuberculosis ◽  
Signs And Symptoms ◽  
Clinical History ◽  
Interesting Case ◽  
Tertiary Centre ◽  
Rare Case Report ◽  
Uncommon Condition ◽  
In Pregnancy

A psoas abscess in pregnancy is a relatively uncommon condition with nonspecific signs and symptoms. It may lead to serious complications if not diagnosed and treated promptly. Although spinal tuberculosis affects nearly half of skeletal tuberculosis patients, psoas abscess develops in only 5% of spinal tuberculosis cases. A clinical history and examination are used to make a diagnosis, which is then confirmed by microbiology and radiological findings. Here is an interesting case report on psoas abscess in pregnancy managed by pigtail catheter insertion and drainage.

scholarly journals Travel-AssociatedSalmonella mbandakaSacroiliac Osteomyelitis in a Healthy Adolescent

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Kirsty Le Doare ◽  
Elspeth Brooker ◽  
Shamez Ladhani
Keyword(s):  
Staphylococcus Aureus ◽  
Sacroiliac Joint ◽  
Psoas Abscess ◽  
Rare Presentation ◽  
Healthy Adolescent ◽  
Foodborne Infection

Pyogenic infections of the sacroiliac joint are rare and usually caused byStaphylococcus aureus. We describe a case of a 16 year-old gymnast who was subsequently diagnosed withSalmonella mbandakasacroiliac osteomyelitis with adjacent psoas abscess and hepatitis one week after returning from a holiday in Crete. This case highlights a rare presentation of a common travel-associated foodborne infection.

scholarly journals A Rare Presentation of Stauffer’s Syndrome Associated with Renal Cell Carcinoma

2020 ◽  
Vol 13 (2) ◽  
pp. 742-746
Author(s):  
Bashar Tanous ◽  
Arwa Alsaud ◽  
Khalid E. Mahmoud ◽  
Mohamed A. Yassin
Keyword(s):  
Renal Cell Carcinoma ◽  
Hospital Stay ◽  
Cell Carcinoma ◽  
Primary Tumor ◽  
Renal Cell ◽  
Renal Mass ◽  
Hepatic Dysfunction ◽  
Tumor Resection ◽  
Flank Pain ◽  
Rare Presentation

Renal cell carcinoma (RCC) is a primary tumor of the kidneys. It is characterized by the triad of flank pain, hematuria, and a palpable flank mass. However, most RCC patients present with a paraneoplastic manifestation of the disease. Stauffer’s syndrome (a non-metastatic hepatic dysfunction) is a rare paraneoplastic manifestation associated with RCC. We report the case of a 30-year-old male, obese, who presented with hematuria and was found to have a right renal mass secondary to RCC. During his hospital stay, the patient developed acute hepatic dysfunction that resolved rapidly after tumor resection.

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