Primary psoas abscess due to Streptococcus milleri 英文参考文献.docVIP

Annals of Clinical Microbiology and Antimicrobials BioMedCentral Case report Open Access Primary psoas abscess due to Streptococcus milleri Nitin B Bagul*1, Abeywardana MS Abeysekara2 and Sabu Jacob2 Address: 1Department of Surgery, University Hospital of North Tees, Stockton, UK and 2Department of Surgery, King George Hospital, Goodmayes, Essex, UK Email: Nitin B Bagul* - drnitinbb@; Abeywardana MS Abeysekara - abey@hotmail.co.uk; Sabu Jacob - sabu.jacob@bhrhospitals.nhs.uk * Corresponding author Published: 26 February 2008 Received: 9 December 2007 Accepted: 26 February 2008 Annals of Clinical Microbiology and Antimicrobials 2008, 7:7 doi:10.1186/1476-0711-7-7 This article is available from: /content/7/1/7 ? 2008 Bagul et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Primary Psoas abscess (PPA) is an infrequent clinical entity with obscure pathogenesis and vague clinical presentation. High index of clinical suspicion is required for the diagnosis of psoas abscess. We also emphasises the importance of bacteriological confirmation of microorganism involved, although Staphylococcus aureus remains the commonest pathogen. We report an extremely rare case of PPA caused by Streptococcus milleri. Only one case has been reported in literature so far. Introduction general examination he was pale, temp-37.5 degree Cel- sius. On physical examination he had fullness in right flank, which was tender and fluctuant. Laboratory investi- gation revealed leucocytosis of 14.9 × 109/l. Plain abdom- Primary psoas abscess (PPA) is extremely rare clinical entity, which potentially carries high mortality and mor- bidity if diagnosis is delayed. A PPA has no obvious focus of infection, w