Clinical Case Database / Category: Case Based Discussion

Psoas abscess secondary to osteoporotic vertebral fracture

Publication details

Dr. B. Abdulrahman, Dr. Holly Emery, Dr. Michael Vassallo
Foundation Years Journal, volume 6, issue 1, p.17 (123Doc Education, London, January 2012)


Psoas abscess is rare in elderly people and often presents with vague clinical findings. A high index of clinical suspicion is required for the diagnosis. This case emphasizes the importance of bacteriological confirmation of microorganism in order to raise suspicion of disease and establishing the appropriate investigation and treatment early in the disease process.

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Dr. B. Abdulrahman

Senior House officer
Royal Bournemouth Hospital

Dr. Holly Emery

T2, Royal Bournemouth Hospital

Dr. Michael Vassallo

Consultant physician
Royal Bournemouth Hospital


1. Nitin B Bagul, Abeywardana MS Abeysekara . Primary psoas abscess due to Streptococcus miller: Sabu Jacob,Annals of Clinical Microbiology and Antimicrobials 2008, 7:7doi:10.1186/1476-0711-7-7
2. Babafemi Taiw,MD, department of internal medicine,Licolin health center&Durham regional hospital.Psoas Abscess A primer for interst: South med J.2001;94(1)
3. Mückley T, Schütz T, Kirschner M, Potulski M, Hofmann G, Bühren V.Psoas abscess: the spine as a primary source of infection.Spine :(Phila Pa 1976),2003 Mar 15;28(6):E106-13
4. Manoj Todkar, MS, DNB, MRCS.Medscape General Medicine. Psoas Abscess - Unusual Etiology of Groin Pain: 2005;7(3):10 © 2005 Medscape
5. Cantasdemir M, Kara B, Cebi D, Selcuk ND, Numan F. Computed tomographyguided percutaneous catheter drainage of primary and secondary iliopsoas abscesses: Clin Radiol. 2003 Oct;58(10):811-5


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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