Iliopsoas Abscess Quiz
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Low back pain
Lower back pain aggravated by pressing
Have a fever
I have back pain
Pain in the groin
Pain in the lower back
Lower back pain worse with pressing
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What is Iliopsoas Abscess?
A collection of pus around the iliopsoas muscle (a muscle connecting the lower back and pelvis). This is sometimes caused by bacteria spreading from nearby infections. In other cases, the immune system is weakened, allowing bacteria from distant areas to travel to the muscle via the bloodstream.
Typical Symptoms of Iliopsoas Abscess
- Fever
- Whole body pain
- Kidney failure on dialysis
- Lower back pain
- Back pain or discomfort
- Lower back pain that worsens when pressing on the painful area
- Groin pain
- History of cancer
Diagnostic Questions for Iliopsoas Abscess
Your doctor may ask these questions to check for this disease:
- Do you have a fever?
- Do you have pain all over your body?
- Are you currently on dialysis?
- Do you have lower back pain?
- Are you experiencing any back pain or discomfort?
Treatment of Iliopsoas Abscess
This usually requires strong antibiotics to treat the infection. It may also require a procedure or surgery to drain pus from around the muscle.
Reviewed By:
Kenji Taylor, MD, MSc (Family Medicine, Primary Care)
Dr. Taylor is a Japanese-African American physician who grew up and was educated in the United States but spent a considerable amount of time in Japan as a college student, working professional and now father of three. After graduating from Brown, he worked in finance first before attending medical school at Penn. He then completed a fellowship with the Centers for Disease Control before going on to specialize in Family and Community Medicine at the University of California, San Francisco (UCSF) where he was also a chief resident. After a faculty position at Stanford, he moved with his family to Japan where he continues to see families on a military base outside of Tokyo, teach Japanese residents and serve remotely as a medical director for Roots Community Health Center. He also enjoys editing and writing podcast summaries for Hippo Education.
Aiko Yoshioka, MD (Gastroenterology)
Dr. Yoshioka graduated from the Niigata University School of Medicine. He worked as a gastroenterologist at Saiseikai Niigata Hospital and Niigata University Medical & Dental Hospital before serving as the Deputy Chief of Gastroenterology at Tsubame Rosai Hospital and Nagaoka Red Cross Hospital. Dr. Yoshioka joined Saitama Saiseikai Kawaguchi General Hospital as Chief of Gastroenterology in April 2018.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Shields D, Robinson P, Crowley TP. Iliopsoas abscess--a review and update on the literature. Int J Surg. 2012;10(9):466-9. doi: 10.1016/j.ijsu.2012.08.016. Epub 2012 Sep 5. PMID: 22960467.
https://www.sciencedirect.com/science/article/pii/S1743919112007650?via%3DihubLi Y, Funakoshi H, Shiga T, Fujitani S. Iliopsoas abscess. Cleve Clin J Med. 2017 Nov;84(11):833-834. doi: 10.3949/ccjm.84a.17002. PMID: 29173253.
https://www.ccjm.org/content/84/11/833Chang CY, Teoh SC. Primary iliopsoas abscess due to Staphylococcus aureus bacteremia. Rev Soc Bras Med Trop. 2020 Nov 13;54:e20200264. doi: 10.1590/0037-8682-0264-2020. PMID: 33206883; PMCID: PMC7670753.
https://www.scielo.br/j/rsbmt/a/ZRypFKP5dMk9TWnxxJzFjCQ/?lang=en