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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, Vol. 42, No. 2, 01.06.2021, p. 170-173.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Garland, J, O'Connor, K, Hu, M, Ondruschka, B & Tse, R 2021, 'Phlegmonous Psoas Muscle Infection Causing Sepsis and Death with Missing Postmortem Computed Tomography Scan Correlation', AM J FOREN MED PATH, vol. 42, no. 2, pp. 170-173. https://doi.org/10.1097/PAF.0000000000000632

APA

Garland, J., O'Connor, K., Hu, M., Ondruschka, B., & Tse, R. (2021). Phlegmonous Psoas Muscle Infection Causing Sepsis and Death with Missing Postmortem Computed Tomography Scan Correlation. AM J FOREN MED PATH, 42(2), 170-173. https://doi.org/10.1097/PAF.0000000000000632

Vancouver

Garland J, O'Connor K, Hu M, Ondruschka B, Tse R. Phlegmonous Psoas Muscle Infection Causing Sepsis and Death with Missing Postmortem Computed Tomography Scan Correlation. AM J FOREN MED PATH. 2021 Jun 1;42(2):170-173. https://doi.org/10.1097/PAF.0000000000000632

Bibtex

@article{d8546af038ea44ca98aa0378fc4fcc0a,
title = "Phlegmonous Psoas Muscle Infection Causing Sepsis and Death with Missing Postmortem Computed Tomography Scan Correlation",
abstract = "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.",
keywords = "abscess, back injury, infection, phlegmonous, PMCT, postmortem computed tomography, psoas muscle",
author = "Jack Garland and Kate O'Connor and Mindy Hu and Benjamin Ondruschka and Rexson Tse",
note = "Publisher Copyright: {\textcopyright} Wolters Kluwer Health, Inc. All rights reserved.",
year = "2021",
month = jun,
day = "1",
doi = "10.1097/PAF.0000000000000632",
language = "English",
volume = "42",
pages = "170--173",
journal = "AM J FOREN MED PATH",
issn = "0195-7910",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

RIS

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 -