A Sceptical Septic Psoas

Author: Charlotte Davies / Editor: Steve Corry-Bass / Reviewer: Charlotte Davies / Codes: Published: 25/08/2023

A 92-year-old lady was found on the floor by relatives. She was reportedly relatively fit and well apart from a history of diverticulitis and atrial fibrillation.

She had a RR 24, SpO2 96% RA, BP 80/60, HR 148 AF, GCS 15.

A FAST scan showed a large fluid filled mass, looking like a bladder, extending to the ziphoid. Further focussed scanning suggested this could be an abscess. A CT confirmed this was a chronic psoas abscess.

With no other cause identified for the sepsis was the psoas abscess the cause?

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