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A female presenting with prolonged fever, weakness, and pain in the bilateral pelvic region: a case report

机译：一名女性在双侧骨盆区域出现长期发烧，无力和疼痛的病例报告

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Introduction Psoas abscess, a collection of pus in the iliopsoas compartment that has traditionally been classified as primary and secondary according to its origin. Case presentation 48-year-old Turkish female presented to the department with fever, weakness and pain in the bilateral pelvic region. In contrast abdominal magnetic resonance, a collection compatible with the hyperintense abscess was observed in the right and left ilipsoas muscles. It was decided to simultaneously drain both abscesses of the case who had been using oral and intravenous broad-spectrum antibiotics for two months. No factors were detected in the microbiological reviews made on the abscess fluid of the operated case. The case was also examined in terms of tuberculosis and Crohn's disease and no findings were encountered to rise suspicions of such diseases. Conclusion An abscess of the psoas muscle was a rare entity. However, with the increased use of computed tomography scans to evaluate patients with unknown foci of sepsis, psoas abscesses now are diagnosed and reported more frequently. What should be done after diagnosis are, if possible, defining the infection factor, selecting the appropriate antibiotics and draining the abscess openly or percutaneously.
机译：简介脓疱脓肿是the虫隔室中脓液的集合，传统上根据脓肿的来源将脓液分为原发性和继发性。病例介绍48岁的土耳其女性因双侧骨盆区域发烧，虚弱和疼痛而被送往该科室。与之相反，腹部磁共振则在左右伊利索肌中观察到与高脓肿相容的集合。决定同时排出使用口服和静脉使用广谱抗生素两个月的病例的两种脓肿。在对手术病例脓肿液进行的微生物学审查中未发现任何因素。该病例还根据结核病和克罗恩氏病进行了检查，未发现可疑疾病的证据。结论腰肌脓肿是罕见的。但是，随着计算机断层扫描技术越来越多地用于评估败血症病灶未知的患者，现在已诊断出腰肌脓肿并得到了更多报道。诊断后应该做的是，如果可能的话，确定感染因素，选择合适的抗生素，并经皮或经皮排空脓肿。

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