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December 1993, Vol 147, No. 12 >
Article | December 1993

Obturator Internus Muscle Abscess: A Case Report and Review of the Literature FREE

ABDUL KADER SOUID, MD; P. DAVID SADOWITZ, MD; LEONARD WEINER, MD; A. STEPHEN DUBANSKY, MD; MICHAEL OLIPHANT, MD
Am J Dis Child. 1993;147(12):1278-1279. doi:10.1001/archpedi.1993.02160360020004.
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Sir.—To our knowledge, primary infection of the obturator internus muscle (OIM) has not been previously reported. The following patient report illustrates the diagnostic challenge posed by this unusual entity and outlines the clinical and radiologic features of this condition. A brief literature review of OIM abscess and psoas abscess is also presented.

Patient Report.  —An 11-year-old Native American boy presented to our pediatric emergency department with a 1-week history of fever and right thigh pain that occurred shortly after an episode of strenuous exercise in the absence of any trauma. The pain was localized to the back of his thigh, and within 1 day, prevented him from bearing weight on his right leg. The following day he developed a persistent fever. He had previously been in excellent health with no unusual infections.Physical examination revealed a child without toxic symptoms with excruciating pain in the right buttock and posterior

REFERENCES

1 +
Gray H, Gross CM.  Muscles and fasciae . In: Gray's Anatomy . Philadelphia, Pa: Lea & Febiger; 1973;:500.
2 +
White BD.  Staphylococcal obturator abscess . J Am Osteopath Assoc . 1991;;91:807-812.
3 +
Schwartzman WA, Lambertus MW, Kennedy CA, Goetz MB.  Staphylococcal pyomyositis in patients infected by the human immunodeficiency virus . Am J Med . 1991;;90:595-600.
4 +
Chatwani A, Shapiro T, Mitra A, LevToaff A, Reece EA.  Postpartum paravaginal hematoma and lower extremity infection . Am J Obstet Gynecol . 1992;;166:598-600.
5 +
Visvanathan R.  Is enteric Staphylococcus a causative agent of skeletal muscle abscesses in children? Afr J Med Sci . 1990;;19:11-14.
6 +
Schwaitzberg SD, Pokorny WJ, Thurston RS, McGill CW, Athey PA, Harberg FJ.  Psoas abscess in children . J Pediatr Surg . 1985;;20:339-342.
7 +
Davies D, King SM, Parekh RS, DAngelo G.  Psoas abscess caused by Haemophilus influenzae type B . Pediatr Infect Dis J . 1991;;10:411-412.
8 +
Scott BD, Schmidt JH.  Pneumococcal meningitis due to psoas abscess . South Med J . 1989;; 82:1310-1311.
9 +
Knobel B, Sommer I, Schwartz G.  Primary psoas abscess three years after ipsilateral nephrectomy . Infection . 1985;;13:27-28.
10 +
Humphreys H, Keane CT, Marron P, Casey E.  Infective sacroiliac arthritis and psoas abscess caused by Streptococcus milleri . J Infect . 1989;; 19:77-78.
11 +
Brooks DJ, Cant AJ, Lambert HP, Wansbrough-Jones MH.  Recurrent salmonella septicaemia with aortitis, osteomyelitis and psoas abscess . J Infect . 1983;;7:156-158.
12 +
Coakham HB, Ashby EC.  Actinomycosis in recurrent psoas abscess . Proc R Soc Med . 1972;; 65:880.
13 +
Durning P, Schofield PF.  Diagnosis and management of psoas abscess in Crohn's disease . J R Soc Med . 1984;;77:33-34.
14 +
Agha FP, Woolsey EJ, Amendola MA.  Psoas abscess in inflammatory bowel disease . Am J Gastroenterol . 1985;;80:924-928.
15 +
Walsh TR,Reilly JR, Hanley E, Webster M, Peitzman A, Steed DL.  Changing etiology of iliopsoas abscess . Am J Surg . 1992;;163:413-416.
16 +
Kwok T, Coles J.  Psoas abscess as a complication of subclavian venous catheterization . Postgrad Med J . 1990;;66:771-772.
17 +
Schut JM, Meradji M, Oranje AP, Bergmeijer JH, Schuller JL.  Double-sided psoas abscess in a young infant: sonographic and radiographic findings . Pediatr Radiol . 1988;;18:176-177.
18 +
Zych GA, McCollough NC.  Acute psoas abscess in a newborn infant . J Pediatr Orthop . 1985;;5:89-91.
19 +
Perry J, Barrack RL, Burke SW, Haddad RJ Jr.  Psoas abscess mimicking a septic hip: diagnosis by computed tomography . J Bone Joint Surg . 1985;;67:1281-1283.

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References

1 +
Gray H, Gross CM.  Muscles and fasciae . In: Gray's Anatomy . Philadelphia, Pa: Lea & Febiger; 1973;:500.
2 +
White BD.  Staphylococcal obturator abscess . J Am Osteopath Assoc . 1991;;91:807-812.
3 +
Schwartzman WA, Lambertus MW, Kennedy CA, Goetz MB.  Staphylococcal pyomyositis in patients infected by the human immunodeficiency virus . Am J Med . 1991;;90:595-600.
4 +
Chatwani A, Shapiro T, Mitra A, LevToaff A, Reece EA.  Postpartum paravaginal hematoma and lower extremity infection . Am J Obstet Gynecol . 1992;;166:598-600.
5 +
Visvanathan R.  Is enteric Staphylococcus a causative agent of skeletal muscle abscesses in children? Afr J Med Sci . 1990;;19:11-14.
6 +
Schwaitzberg SD, Pokorny WJ, Thurston RS, McGill CW, Athey PA, Harberg FJ.  Psoas abscess in children . J Pediatr Surg . 1985;;20:339-342.
7 +
Davies D, King SM, Parekh RS, DAngelo G.  Psoas abscess caused by Haemophilus influenzae type B . Pediatr Infect Dis J . 1991;;10:411-412.
8 +
Scott BD, Schmidt JH.  Pneumococcal meningitis due to psoas abscess . South Med J . 1989;; 82:1310-1311.
9 +
Knobel B, Sommer I, Schwartz G.  Primary psoas abscess three years after ipsilateral nephrectomy . Infection . 1985;;13:27-28.
10 +
Humphreys H, Keane CT, Marron P, Casey E.  Infective sacroiliac arthritis and psoas abscess caused by Streptococcus milleri . J Infect . 1989;; 19:77-78.
11 +
Brooks DJ, Cant AJ, Lambert HP, Wansbrough-Jones MH.  Recurrent salmonella septicaemia with aortitis, osteomyelitis and psoas abscess . J Infect . 1983;;7:156-158.
12 +
Coakham HB, Ashby EC.  Actinomycosis in recurrent psoas abscess . Proc R Soc Med . 1972;; 65:880.
13 +
Durning P, Schofield PF.  Diagnosis and management of psoas abscess in Crohn's disease . J R Soc Med . 1984;;77:33-34.
14 +
Agha FP, Woolsey EJ, Amendola MA.  Psoas abscess in inflammatory bowel disease . Am J Gastroenterol . 1985;;80:924-928.
15 +
Walsh TR,Reilly JR, Hanley E, Webster M, Peitzman A, Steed DL.  Changing etiology of iliopsoas abscess . Am J Surg . 1992;;163:413-416.
16 +
Kwok T, Coles J.  Psoas abscess as a complication of subclavian venous catheterization . Postgrad Med J . 1990;;66:771-772.
17 +
Schut JM, Meradji M, Oranje AP, Bergmeijer JH, Schuller JL.  Double-sided psoas abscess in a young infant: sonographic and radiographic findings . Pediatr Radiol . 1988;;18:176-177.
18 +
Zych GA, McCollough NC.  Acute psoas abscess in a newborn infant . J Pediatr Orthop . 1985;;5:89-91.
19 +
Perry J, Barrack RL, Burke SW, Haddad RJ Jr.  Psoas abscess mimicking a septic hip: diagnosis by computed tomography . J Bone Joint Surg . 1985;;67:1281-1283.

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