An Atypical Case of Psoas Abscess in an Elderly Patient

Abstract

Psoas abscess (PA), the accumulation of suppurative fluid in the fascia surrounding the psoas muscle, is a rare condition, with difficult diagnosis. Pain, fever, and limping are its main symptoms. In this paper, we report a case of PA presenting with non-specific symptoms, such as pain and fatigue. After the diagnosis, drainage of PA was performed, and intravenous antibiotic treatment was started immediately. The patient was discharged with improvements in his general condition after three weeks of treatment. This case suggests that PA should be considered in geriatric patients presenting with nonspecific symptoms such as fatigue, loss of appetite and weight loss as well as waist and hip pain. Early diagnosis may significantly decrease the risk of morbidity and mortality.