Point-of-Care Ultrasound Identification of a Psoas Abscess in a Child Presenting With Hip Pain

Pediatr Emerg Care. 2017 Jun;33(6):437-439. doi: 10.1097/PEC.0000000000001159.

Abstract

This case-report describes a 4-year-old girl brought to the emergency department for the evaluation of limp and elevated inflammatory markers. The patient's history and physical examination did not reveal a clear source of pathology. Point-of-care ultrasound identified a right-sided psoas abscess that was confirmed with computed tomography scan. This case demonstrates the potential utility of point-of-care ultrasound in the diagnosis and management of patients presenting to the emergency department with symptoms concerning for pathology in the hip or lower abdomen.

Publication types

  • Case Reports

MeSH terms

  • Administration, Intravenous
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use
  • Child, Preschool
  • Emergency Service, Hospital
  • Female
  • Hip / microbiology
  • Hip / pathology*
  • Humans
  • Movement Disorders / diagnosis*
  • Movement Disorders / etiology
  • Pain / diagnosis*
  • Pain / etiology
  • Point-of-Care Systems / statistics & numerical data*
  • Psoas Abscess / diagnostic imaging*
  • Psoas Abscess / drug therapy
  • Psoas Abscess / microbiology
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome
  • Ultrasonography / methods

Substances

  • Anti-Bacterial Agents