Treatment of Psoas abscess related coxarthrosıs due to salmonella infection in a patient wıth chronic renal failure
Main Article Content
Abstract
INTRODUCTION: The most common microorganisms isolated from septic arthritis are staphylococcus aureus and streptoccocci. Septic arthritis due to Salmonella spp. is extremely rare.
PRESENTATION OF CASE: A 55-year-old man, chronic renal failure, is admitted hip arthtritis with newly arised symptoms. The findings were not compatible with primary arthritis. The laboratory findings which include white blood cell
count, erythrocyte sedimentation rate (esr) and c-reactive protein (crp) were elevated. In magnetic resonance (mr) imaging there were psoas abscess and septic arthritis of the hip. They were treated by drainage. The culture was confirmed
as Salmonella spp. Antibiotic treatment were done.
DISCUSSION: Uremia in patients with chronic renal failure is associated with a state of immune dysfunction. In our
case, uremia may cause immunosuppressive conditions and hematogenous dissemination of salmonella.
CONCLUSION: Salmonella infection in a patient with chronic renal failure may be occured. It must be kept in mind
that early diagnosis, administration of appropriate systemic antibiotics and surgical intervention play a pivotal role in
successful management.