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Iliopsoas Abscess in Hemodialysis Patients With End-Stage Kidney Disease.

Authors
  • Kawai, Yusuke1
  • Banshodani, Masataka1
  • Moriishi, Misaki1
  • Sato, Tomoyasu2
  • Shintaku, Sadanori1
  • Masaki, Takao3
  • Kawanishi, Hideki1
  • 1 Artificial Organs, Akane-Foundation, Tsuchiya General Hospital, Hiroshima, Japan. , (Japan)
  • 2 Radiology, Akane-Foundation, Tsuchiya General Hospital, Hiroshima, Japan. , (Japan)
  • 3 Department of Nephrology, Hiroshima University Hospital, Hiroshima, Japan. , (Japan)
Type
Published Article
Journal
Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy
Publication Date
Dec 01, 2019
Volume
23
Issue
6
Pages
534–541
Identifiers
DOI: 10.1111/1744-9987.12801
PMID: 30864296
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Iliopsoas abscess in HD patients is rare. We examined nine HD patients with iliopsoas abscess (six men and five diabetes mellitus cases) treated between 2005 and 2015. Mean age and dialysis vintage at onset were 72 years and 109 months, respectively. Of the nine patients, four had lumbar orthopedic diseases, and two had all components of the classic triad of iliopsoas abscess at onset. All nine patients underwent percutaneous drainage, while seven underwent antimicrobial therapy. The most common pathogenic bacterium was methicillin-resistantStaphylococcus aureus(MRSA) (n = 5). Four patients had multilocular recurrence on the same side as the initial abscess and did not undergo CT before drainage catheter removal. Five patients died in the hospital, in which three died due to infectious diseases by MRSA. We suggest percutaneous drainage as the first-line therapy for HD patients with iliopsoas abscess and recommend combining antimicrobial therapy for MRSA, because of poor prognosis. © 2019 International Society for Apheresis, Japanese Society for Apheresis, and Japanese Society for Dialysis Therapy.

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