Primary psoas abscess due to Streptococcus milleri

Nitin B Bagul¹ , Abeywardana MS Abeysekara² and Sabu Jacob²

¹Department of Surgery, University Hospital of North Tees, Stockton, UK

²Department of Surgery, King George Hospital, Goodmayes, Essex, UK

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Annals of Clinical Microbiology and Antimicrobials 2008, 7:7doi:10.1186/1476-0711-7-7


Published:	26 February 2008

Abstract

Primary Psoas abscess (PPA) is an infrequent clinical entity with obscure pathogenesis and vague clinical presentation. High index of clinical suspicion is required for the diagnosis of psoas abscess. We also emphasises the importance of bacteriological confirmation of microorganism involved, although Staphylococcus aureus remains the commonest pathogen. We report an extremely rare case of PPA caused by Streptococcus milleri. Only one case has been reported in literature so far.