!DOCTYPE HTML PUBLIC "-//SQ//DTD HTML 2.0 HoTMetaL + extensions//EN"> Right Iliacus Abscess, Ascites, Staph Septicemia From SBE
This 48 y/o male with a prosthetic cardiac valve, intermittent fever and abdominal distension also complained of right leg pain on flexion. Selected images from his pelvic CT pre and post contrast shown above demonstrate an enhancing mass in the right iliacus muscle. Renal insufficiency and septicemia from subacute bacterial endocarditis with staph was found in this patient. The iliacus abnormality is consistent with focal infection from the septicemia. The ascites was felt to be secondary to the patient's renal insufficiency.
  1. Petti CA, Fowler VG Jr. Staphylococcus aureus bacteremia and endocarditis. Infect Dis Clin North Am 2002 Jun;16(2):413-35, x-xi PMID:12092480
  2. Gould FK. Gram-positive endocarditis. J Infect 1999 Jul;39(1):27-31 PMID:10468125
  3. Whitener C, Caputo GM, Weitekamp MR, Karchmer AW. Endocarditis due to coagulase-negative staphylococci. Microbiologic, epidemiologic, and clinical considerations. Infect Dis Clin North Am 1993 Mar;7(1):81-96 PMID:8463655
  4. Chambers HF. Short-course combination and oral therapies of Staphylococcus aureus endocarditis. Infect Dis Clin North Am 1993 Mar;7(1):69-80 PMID:8463654
  5. Mortara LA, Bayer AS. Staphylococcus aureus bacteremia and endocarditis. New diagnostic and therapeutic concepts. Infect Dis Clin North Am 1993 Mar;7(1):53-68 PMID:8463653
  6. Tunkel AR, Kaye D. Neurologic complications of infective endocarditis. Neurol Clin 1993 May;11(2):419-40 PMID:8316194
  7. Lenchik L, Dovgan DJ, Kier R. CT of the iliopsoas compartment: value in differentiating tumor, abscess, and hematoma. AJR Am J Roentgenol 1994 Jan;162(1):83-6 PMID:8273696
  8. Simons GW, Sty JR, Starshak RR. Iliacus abscess. Clin Orthop 1984 Mar;(183):61-3 PMID:6697602
  9. Pai VS, Yee E, Lawson D, Curtis G. Iliacus pyomyositis with involvement of lateral cutaneous nerve of the thigh. N Z Med J 1994 Sep 28;107(986 Pt 1):378-9 PMID:7936466
  10. Parker SL, Conn KS, Ignotus PI. Staphylococcus aureus meningitis--a rare complication of iliacus muscle abscess. J Infect 1997 Jul;35(1):92-4 PMID:9279737

Use the Back or Backward button on your browser to return