Published in:
01-08-2004 | Brief Report
Psoas abscess in patients infected with the human immunodeficiency virus
Published in: European Journal of Clinical Microbiology & Infectious Diseases | Issue 8/2004
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Psoas muscle abscess (PA) is an uncommon infection that has been diagnosed increasingly in recent years, partly due to the availability of imagining techniques such as computed tomography (CT) and the emergence of new diseases such as HIV infection. From January 2000 to December 2002 we carried out a study at Hospital de Orihuela, a 400-bed secondary hospital situated in the city of Orihuela in southeastern Spain to determine the current incidence of psoas abscess in patients with HIV infection. Our institution serves a population of approximately 250,000, and at the time of the study there were 395 recorded cases of HIV infection. During the study period, eight cases of PA were diagnosed, three of which occurred in patients with HIV infection. The mean demographic, clinical and microbiological data of these and all other cases of psoas abscess in HIV-infected reported previously in the literature are described in Table 1.
Table 1
Clinical characteristics and immune status of 11 patients with psoas abscess (PA) and HIV infection
|
Age/sex
|
HIV risk factor
|
AIDS-defining disease
|
CD4+cell count
|
PA focus
|
Bacteria isolated
|
[Ref]
|
|---|---|---|---|---|---|---|
|
52/m
|
Bisexual
|
CMV retinitis
|
20/mm3
|
Primary
|
MAI
|
[5]
|
|
25/f
|
NA
|
MAI in blood cultures
|
23/mm3
|
Primary
|
MAI
|
[5]
|
|
30/m
|
IVDU
|
Candida oesophagitis
|
78/mm3
|
Primary
|
TBC
|
[6]
|
|
33/m
|
Homosexual
|
CMV oesophagitis
|
20/mm3
|
Primary
|
S. aureus
|
[14]
|
|
32/m
|
IVDU
|
Miliary TBC
|
456/mm3
|
Bone
|
TBC
|
[15]
|
|
34/m
|
IVDU
|
MAI and perianal herpes simplex infection
|
582/mm3
|
G-U
|
TBC
|
[18]
|
|
31/m
|
NA
|
TBC
|
100/mm3
|
NA
|
TBC
|
[17]
|
|
34/m
|
NA
|
Disseminated TBC
|
6/mm3
|
Primary
|
TBC
|
[19]
|
|
31/m
|
IVDU
|
CMV retinitis
|
NA
|
Bone
|
None
|
[PR]
|
|
31/m
|
IVDU
|
None
|
85/mm3
|
Primary
|
S. aureus
|
[PR]
|
|
38/m
|
IVDU
|
Tuberculous lung infection
|
300/mm3
|
Primary
|
S. aureus
|
[PR]
|