A Devasting Course of an Iliopsoas Muscle Abscess Subsequently Leading to Septic Shock, Septic Hip Arthritis, and Extended Gluteal Soft Tissue Necroses in an Elderly Immunocompromised Patient with Multiple Carcinomas: A Case Report and Brief Review of Literature

Abstract

Clinical diagnosis of infectious back and hip anatomical regions are challenging. Although the “classic” triad for iliopsoas muscle abscess was described more than a hundred years ago, it is certainly not very frequent. Despite being a rare condition, most references are cases reports in the literature, and it is not clinically suspected very often. Due to the increasing number of immunocompromised patients nowadays in most countries, like the one with malignancies, the diagnostic difficulties are increasing. Painful back and hip conditions should be considered with caution in these patients in order to prevent severe septic cases like the one presented here.