Phlegmonous Psoas Muscle Infection Causing Sepsis and Death with Missing Postmortem Computed Tomography Scan Correlation
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Phlegmonous Psoas Muscle Infection Causing Sepsis and Death with Missing Postmortem Computed Tomography Scan Correlation. / Garland, Jack; O'Connor, Kate; Hu, Mindy; Ondruschka, Benjamin; Tse, Rexson.
in: AM J FOREN MED PATH, Jahrgang 42, Nr. 2, 01.06.2021, S. 170-173.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Phlegmonous Psoas Muscle Infection Causing Sepsis and Death with Missing Postmortem Computed Tomography Scan Correlation
AU - Garland, Jack
AU - O'Connor, Kate
AU - Hu, Mindy
AU - Ondruschka, Benjamin
AU - Tse, Rexson
N1 - Publisher Copyright: © Wolters Kluwer Health, Inc. All rights reserved.
PY - 2021/6/1
Y1 - 2021/6/1
N2 - Infection of the psoas muscle is a rare pathology, which carries a high risk of sepsis and is a potential cause of death. Classic symptoms include back pain and fever and it may be diagnosed premortem on computed tomography or magnetic resonance imaging, where abscess formation may be identified as a discrete rim enhancing and low-attenuation lesion. Infections without abscess formation, such as phlegmonous infection, may be more difficult to identify however, particularly if there is absence of other nonspecific findings, such as gas bubbles. We report a case of Staphylococcus aureus phlegmonous psoas muscle causing sepsis and death with no postmortem computed tomography scan correlation, where clinical history of back pain and an unknown source of sepsis was the only prompt for psoas dissection. This case highlights a potential postmortem computed tomography blind spot in abdominal pathology and we recommend dissecting the psoas muscle if sepsis is suspected but a definitive septic focus is unable to be identified.
AB - Infection of the psoas muscle is a rare pathology, which carries a high risk of sepsis and is a potential cause of death. Classic symptoms include back pain and fever and it may be diagnosed premortem on computed tomography or magnetic resonance imaging, where abscess formation may be identified as a discrete rim enhancing and low-attenuation lesion. Infections without abscess formation, such as phlegmonous infection, may be more difficult to identify however, particularly if there is absence of other nonspecific findings, such as gas bubbles. We report a case of Staphylococcus aureus phlegmonous psoas muscle causing sepsis and death with no postmortem computed tomography scan correlation, where clinical history of back pain and an unknown source of sepsis was the only prompt for psoas dissection. This case highlights a potential postmortem computed tomography blind spot in abdominal pathology and we recommend dissecting the psoas muscle if sepsis is suspected but a definitive septic focus is unable to be identified.
KW - abscess
KW - back injury
KW - infection
KW - phlegmonous
KW - PMCT
KW - postmortem computed tomography
KW - psoas muscle
UR - http://www.scopus.com/inward/record.url?scp=85097291692&partnerID=8YFLogxK
U2 - 10.1097/PAF.0000000000000632
DO - 10.1097/PAF.0000000000000632
M3 - SCORING: Journal article
C2 - 33109914
AN - SCOPUS:85097291692
VL - 42
SP - 170
EP - 173
JO - AM J FOREN MED PATH
JF - AM J FOREN MED PATH
SN - 0195-7910
IS - 2
ER -