CHRONIC HEMODIALYSIS PATIENT DEVELOPED ABSCESS OF THE ILIOPSOAS MUSCLE AND PULMONARY SUPPURATIVE DISEASE DUE TO MRSA

Abstract

Abscess of the iliopsoas muscle caused by MRSA is a rare entity. This paper report is a case of abscess of the iliopsoas muscle and pulmonary suppurative disease which might be caused by MRSA septicemia in a patient with chronic renal failure on hemodialysis.
A 41-year-old woman who had been undergoing hemodialysis was admitted because of fever and left lumbar pain. Pelvic and thoracic CT scan offered diagnosis of abscess of the left iliopsoas muscle and pulumonarry suppurative disease. An incisional drainage was performed. On admission, MRSA was isolated from incubation of arterial blood as well as from incubations of pus and sputa. So VCM was administered. After enucleation of a drain, re-retention of pus was observed. Second incisional drainage was performed on the 8th postoperative day. After the reoperation, lavage through the drain was repeated. The high fever was normalized and a significant decrease in size of the abscess was confirmed on pelvic and chest CT scans in 7 weeks after the operation. The patient was discharged very much improved on the 13th weeks after the operation.