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Psoas abscess caused by probable extended spectrum beta lactamase (ESBL) producing Escherichia coli: A Case Report

Authors:

J. A. L. U. Kumara ,

Colombo South Teaching Hospital, Kalubowila, LK
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G. W. D. Somasiri,

Colombo South Teaching Hospital, Kalubowila, LK
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D. M. Mendis,

Colombo South Teaching Hospital, Kalubowila, LK
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C. N. Wijesinghe,

Colombo South Teaching Hospital, Kalubowila, LK
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W. D. Galagedara,

Colombo South Teaching Hospital, Kalubowila, LK
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A. M. Abeygunasekara,

Colombo South Teaching Hospital, Kalubowila, LK
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S. Mendis,

Colombo South Teaching Hospital, Kalubowila, LK
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N. S. Chandrasiri

Colombo South Teaching Hospital, Kalubowila, LK
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Abstract

Iliopsoas abscess (IPA) is a collection of pus in the iliopsoas muscle. It is rare and usually presents with vague symptoms. IPA can be either primary or secondary. An IPA was diagnosed by computed tomography (CT) in a 64-year-old male with diabetes mellitus and chronic kidney disease (CKD) who presented with a limp. Pus specimen from IPA yielded non-lactose fermenting Escherichia coli which is rarely isolated from IPA. The isolate was sensitive to meropenem and treated with intravenous meropenem for 4 weeks. Source control was achieved by ultrasound scan-guided aspiration of the abscess.

How to Cite: Kumara, J.A.L.U., Somasiri, G.W.D., Mendis, D.M., Wijesinghe, C.N., Galagedara, W.D., Abeygunasekara, A.M., Mendis, S. and Chandrasiri, N.S., 2021. Psoas abscess caused by probable extended spectrum beta lactamase (ESBL) producing Escherichia coli: A Case Report. Sri Lankan Journal of Infectious Diseases, 11(2), pp.126–130. DOI: http://doi.org/10.4038/sljid.v11i2.8408
Published on 28 Oct 2021.
Peer Reviewed

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