Cerrahi olarak drene edilen primer psoas apselerinde nüks ile bağlantılı klinik ve hematolojik parametrelerin değerlendirilmesi. Retrospektif karşılaştırmalı bir çalışma
Öz
Amaç: Bu çalışmada primer psoas apsesinde nüks ile ilişkili klinik ve laboratuvar parametrelerinin değerlendirilmesi amaçlandı. Psoas apsesi, tanı ve tedavi sürecinde sık görülen komplikasyonları olan, nadir görülen enfektif bir durumdur. Literatürde psoas apsesinin prognozunu belirleyen prognostik faktörlerle ilgili sınırlı bilgi bulunmaktadır.
Materyal ve Metot: Çalışmamıza 1998-2018 yılları arasında bir üniversite hastanesinde psoas apsesi tanısı ile cerrahi drenaj uygulanan 52 hasta dahil edildi. Hastalar cerrahi drenaj sonrası iyileşenler (Grup A) ve nüks gelişenler (Grup B) olarak iki gruba ayrıldı. Hastaların preoperatif dönemin başlangıcından postoperatif döneme kadar olan klinik ve laboratuvar verileri karşılaştırıldı.
Bulgular: Grup A'da yaş ortalaması 47.42 ± 14.12, Grup B'de 53.81 ± 15.83 yıl idi. Ortalama takip süresi 43.96 ± 14.29 aydı. Nötrofil/lenfosit oranı Grup A'da 11.38 ± 1.69 ve Grup B'de 18.75 ± 2.31 idi (p=0.001). Trombosit/lenfosit oranı Grup A'da 114.96 ± 30.31 ve Grup B'de 139.70 ± 42.25 idi (p=0.016). Akut Fizyoloji ve Kronik Sağlık Değerlendirmesi (APACHE II) puanı Grup B'de daha yüksekti (p=0,001).
Sonuçlar: Mevcut çalışmanın sonuçlarına göre, nötrofil/lenfosit oranı, trombosit/lenfosit oranı, APACHE II skoru ve gecikmiş tanı, primer psoas apsesi vakalarında nüks ile bağlantılı önemli prognostik göstergelerdir.
Anahtar Kelimeler
Primer psoas absesi nüks cerrahi drenaj nötrofil/lenfosit oranı trombosit/lenfosit oranı APACHE II skoru
Kaynakça
- 1. Gruenwald I, Abrahamson J, Cohen O. Psoas abscess: case report and review of the literature. J Urol. 1992;147:1624-26. doi:10.1016/s0022-5347(17)37650-4
- 2. Mallick IH, Thoufeeq MH, Rajendran TP. Iliopsoas abscesses. Postgrad Med J. 2004;80:459-62. doi:10.1136/pgmj.2003.017665
- 3. Kato T, Yamagami T, Iida S, et al. Percutaneous drainage under real-time computed tomography-fluoroscopy guidance. Hepatogastroenterology. 2005; 52:1048-1052.
- 4. Agrawal SN, Dwivedi AJ, Khan M. Primary psoas abscess. Dig Dis Sci. 2002; 47:2103-05. doi:10.1023/a:1019693400742
- 5. Ricci MA, Rose FB, Meyer KK. Pyogenic psoas abscess: worldwide variations in etiology. World J Surg. 1986; 10:834-43. doi:10.1007/BF01655254
- 6. Zissin R, Gayer G, Kots E, et al. Iliopsoas abscess: a report of 24 patients diagnosed by CT. Abdom Imaging. 2001; 26:533-39. doi:10.1007/s002610000201
- 7. Lee BB, Ngan Kee WD, Griffith JF. Vertebral osteomyelitis and psoas abscess occurring after obstetric epidural anesthesia. Reg Anesth Pain Med. 2002; 27:220-24. doi:10.1053/rapm.2002.28712
- 8. Bresee JS, Edwards MS. Psoas abscess in children. Pediatr Infect Dis J. 1990; 9:201-06. doi:10.1097/00006454-199003000-00011
- 9. Baier PK, Arampatzis G, Imdahl A, et al. The iliopsoas abscess: aetiology, therapy, and outcome. Langenbecks Arch Surg. 2006; 391:411-17. doi:10.1007/s00423-006-0052-6
- 10. López, VN, Ramos, JM, Meseguer V, et al. Microbiology and outcome of iliopsoas abscess in 124 patients. Medicine. 2009; 88:120–30. doi:10.1097/MD.0b013e31819d2748
- 11. Kim YJ, Yoon JH, Kim SI, et al. Etiology and outcome of iliopsoas muscle abscess in Korea; changes over a decade. Int J Surg. 2013; 11:1056-59.
- 12. Cantasdemir M, Kara B, Cebi D, et al .Computed tomography-guided percutaneous catheter drainage of primary and secondary iliopsoas abscesses. Clin Radiol. 2003; 58:811-15. doi:10.1016/s0009-9260(03)00274-5
- 13. Knaus WA, Draper EA, Wagner DP, et al. APACHE II: a severity of disease classification system. Crit Care Med. 1985; 13:818-29.
- 14. Yacoub WN, Sohn HJ, Chan S, et al. Psoas abscess rarely requires surgical intervention. American journal of surgery. 2008; 196:223–27. https://doi.org/10.1016/j.amjsurg.2007.07.032
- 15. Ouellette L, Hamati M, Flannigan M, et al. Epidemiology of and risk factors for iliopsoas abscess in a large community-based study. Am J Emerg Med. 2019; 37:158-59. doi:10.1016/j.ajem.2018.05.021
- 16. Turunç T, Turunç T, Demiroğlu YZ, et al. Psoas apsesi olan 15 hastanin retrospektif olarak değerlendirilmesi [Retrospective evaluation of 15 cases with psoas abscesses]. Mikrobiyol Bul. 2009; 43:121-25.
- 17. Siu A, Law K, Lo C, et al. Low Back Pain: Would it be Psoas Abscess? Hong Kong J. Emerg. Med. 2002; 9:213-16. doi:10.1177/102490790200900406
- 18. Yu CH. Full-endoscopic debridement and drainage treating spine infection and psoas muscle abscess. J Spine Surg. 2020; 6:415-23. doi:10.21037/jss.2020.01.04
- 19. Thongngarm T, McMurray RW. Primary psoa abscess. Ann Rheum Dis. 2001; 60:173-74. doi:10.1136/ard.60.2.173
- 20. Ibrahim FMF, El-Rady AEMA. Transverse process osteotomy for surgical drainage of primary iliopsoas abscess and secondary cases combined with spondylodiscitis. Int Orthop. 2021; 45:165-71. doi:10.1007/s00264-020-04732-5
- 21. UEG Week 2019 Poster Presentations. United European Gastroenterol J. 2019; 7:189-1030. doi:10.1177/2050640619854671
- 22. Lai YC, Lin PC, Wang WS, et al. An update on psoas muscle abscess: an 8-year experience and review of literature. Int J Gerontol. 2011; 5:75-9. doi: 10.1016/j.ijge.2011.04.009.
- 23. Santaella RO, Fishman EK, Lipsett PA. Primary vs secondary iliopsoas abscess. Presentation, microbiology, and treatment. Arch Surg. 1995; 130:1309-13. doi:10.1001/archsurg.1995.01430120063009
- 24. Chiu SK, Lin JC, Wang NC, et al. Impact of underlying diseases on the clinical characteristics and outcome of primary pyomyositis. J Microbiol Immunol Infect. 2008; 41:286-93.
- 25. Hamano S, Kiyoshima K, Nakatsu H, et al. Pyogenic psoas abscess: difficulty in early diagnosis. Urol Int. 2003; 71:178-83. doi:10.1159/000071843
- 26. Benkhadoura MO, El-Mogassabi AH, Mansor SM,et al. Iliopsoas abscess: clinical presentation, management, and outcome. Int Surg J. 2019; 6:17-21. doi: 10.18203/2349-2902.isj20185458.
- 27. Yilmaz H, Cakmak M, Inan O,et al. Can neutrophil-lymphocyte ratio be independent risk factor for predicting acute kidney injury in patients with severe sepsis?. Ren Fail. 2015; 37:225-29. doi:10.3109/0886022X.2014.982477
- 28. Shen Y, Huang X, Zhang W. Platelet-to-lymphocyte ratio as a prognostic predictor of mortality for sepsis: interaction effect with disease severity-a retrospective study. BMJ Open. 2019; 9:e022896. doi:10.1136/bmjopen-2018-022896
- 29. Hu ZD, Lippi G, Montagnana M . Diagnostic and prognostic value of red blood cell distribution width in sepsis: A narrative review. Clin Biochem. 2020; 77:1-6. doi:10.1016/j.clinbiochem.2020.01.001
- 30. Kim YC, Song JE, Kim EJ, et al. A Simple Scoring System Using the Red Blood Cell Distribution Width, Delta Neutrophil Index, and Platelet Count to Predict Mortality in Patients With Severe Sepsis and Septic Shock. J Intensive Care Med. 2019; 34:133-39. doi:10.1177/0885066618787448
An Appraisal of Clinical and Hematological Parameters Linked to Recurrence in Surgically Drained Primary Psoas Abscesses: A Retrospective Comparative Study
Öz
Aim: Psoas abscess is rare infectious condition with frequent complications in the diagnosis and treatment process. Unfortunately, there is limited information in the literature about the prognostic factors that determine the prognosis of psoas abscess. Therefore, the aim of this study was to evaluate the clinical and laboratory parameters associated with recurrence in primary psoas abscess.
Material and Methods: Fifty-two patients who were diagnosed with psoas abscess and treated with surgical drainage in a university hospital between 1998 and 2018 were included in our study. The patients were seperated into two groups as those who recovered after surgical drainage (Group A) and those who developed recurrence (Group B). Clinical and laboratory data of the patients from the beginning of the preoperative period to the postoperative period were compared.
Results: The mean age was 47.42±14.12 years in Group A and 53.81±15.83 years in Group B. The mean follow-up time was 43.96±14.29 months. The neutrophil to lymphocyte ratio was 11.38±1.69 in Group A and 18.75±2.31 in Group B (p=0.001). The platelet to lymphocyte ratio was 114.96±30.31 in Group A and 139.70±42.25 in Group B (p=0.016). The Acute Physiology and Chronic Health Evaluation (APACHE II) score was higher in Group B (p=0.001).
Conclusion: According to the results of the current study, the neutrophil to lymphocyte ratio, the platelet to lymphocyte ratio, the APACHE II score, and the delayed diagnosis are all important prognostic indicators linked to recurrence in instances with primary psoas abscess.
Anahtar Kelimeler
Primary psoas abscess recurrence surgical drainage neutrophil to lymphocyte ratio platelet to lymphocyte ratio APACHE II score
Kaynakça
- 1. Gruenwald I, Abrahamson J, Cohen O. Psoas abscess: case report and review of the literature. J Urol. 1992;147:1624-26. doi:10.1016/s0022-5347(17)37650-4
- 2. Mallick IH, Thoufeeq MH, Rajendran TP. Iliopsoas abscesses. Postgrad Med J. 2004;80:459-62. doi:10.1136/pgmj.2003.017665
- 3. Kato T, Yamagami T, Iida S, et al. Percutaneous drainage under real-time computed tomography-fluoroscopy guidance. Hepatogastroenterology. 2005; 52:1048-1052.
- 4. Agrawal SN, Dwivedi AJ, Khan M. Primary psoas abscess. Dig Dis Sci. 2002; 47:2103-05. doi:10.1023/a:1019693400742
- 5. Ricci MA, Rose FB, Meyer KK. Pyogenic psoas abscess: worldwide variations in etiology. World J Surg. 1986; 10:834-43. doi:10.1007/BF01655254
- 6. Zissin R, Gayer G, Kots E, et al. Iliopsoas abscess: a report of 24 patients diagnosed by CT. Abdom Imaging. 2001; 26:533-39. doi:10.1007/s002610000201
- 7. Lee BB, Ngan Kee WD, Griffith JF. Vertebral osteomyelitis and psoas abscess occurring after obstetric epidural anesthesia. Reg Anesth Pain Med. 2002; 27:220-24. doi:10.1053/rapm.2002.28712
- 8. Bresee JS, Edwards MS. Psoas abscess in children. Pediatr Infect Dis J. 1990; 9:201-06. doi:10.1097/00006454-199003000-00011
- 9. Baier PK, Arampatzis G, Imdahl A, et al. The iliopsoas abscess: aetiology, therapy, and outcome. Langenbecks Arch Surg. 2006; 391:411-17. doi:10.1007/s00423-006-0052-6
- 10. López, VN, Ramos, JM, Meseguer V, et al. Microbiology and outcome of iliopsoas abscess in 124 patients. Medicine. 2009; 88:120–30. doi:10.1097/MD.0b013e31819d2748
- 11. Kim YJ, Yoon JH, Kim SI, et al. Etiology and outcome of iliopsoas muscle abscess in Korea; changes over a decade. Int J Surg. 2013; 11:1056-59.
- 12. Cantasdemir M, Kara B, Cebi D, et al .Computed tomography-guided percutaneous catheter drainage of primary and secondary iliopsoas abscesses. Clin Radiol. 2003; 58:811-15. doi:10.1016/s0009-9260(03)00274-5
- 13. Knaus WA, Draper EA, Wagner DP, et al. APACHE II: a severity of disease classification system. Crit Care Med. 1985; 13:818-29.
- 14. Yacoub WN, Sohn HJ, Chan S, et al. Psoas abscess rarely requires surgical intervention. American journal of surgery. 2008; 196:223–27. https://doi.org/10.1016/j.amjsurg.2007.07.032
- 15. Ouellette L, Hamati M, Flannigan M, et al. Epidemiology of and risk factors for iliopsoas abscess in a large community-based study. Am J Emerg Med. 2019; 37:158-59. doi:10.1016/j.ajem.2018.05.021
- 16. Turunç T, Turunç T, Demiroğlu YZ, et al. Psoas apsesi olan 15 hastanin retrospektif olarak değerlendirilmesi [Retrospective evaluation of 15 cases with psoas abscesses]. Mikrobiyol Bul. 2009; 43:121-25.
- 17. Siu A, Law K, Lo C, et al. Low Back Pain: Would it be Psoas Abscess? Hong Kong J. Emerg. Med. 2002; 9:213-16. doi:10.1177/102490790200900406
- 18. Yu CH. Full-endoscopic debridement and drainage treating spine infection and psoas muscle abscess. J Spine Surg. 2020; 6:415-23. doi:10.21037/jss.2020.01.04
- 19. Thongngarm T, McMurray RW. Primary psoa abscess. Ann Rheum Dis. 2001; 60:173-74. doi:10.1136/ard.60.2.173
- 20. Ibrahim FMF, El-Rady AEMA. Transverse process osteotomy for surgical drainage of primary iliopsoas abscess and secondary cases combined with spondylodiscitis. Int Orthop. 2021; 45:165-71. doi:10.1007/s00264-020-04732-5
- 21. UEG Week 2019 Poster Presentations. United European Gastroenterol J. 2019; 7:189-1030. doi:10.1177/2050640619854671
- 22. Lai YC, Lin PC, Wang WS, et al. An update on psoas muscle abscess: an 8-year experience and review of literature. Int J Gerontol. 2011; 5:75-9. doi: 10.1016/j.ijge.2011.04.009.
- 23. Santaella RO, Fishman EK, Lipsett PA. Primary vs secondary iliopsoas abscess. Presentation, microbiology, and treatment. Arch Surg. 1995; 130:1309-13. doi:10.1001/archsurg.1995.01430120063009
- 24. Chiu SK, Lin JC, Wang NC, et al. Impact of underlying diseases on the clinical characteristics and outcome of primary pyomyositis. J Microbiol Immunol Infect. 2008; 41:286-93.
- 25. Hamano S, Kiyoshima K, Nakatsu H, et al. Pyogenic psoas abscess: difficulty in early diagnosis. Urol Int. 2003; 71:178-83. doi:10.1159/000071843
- 26. Benkhadoura MO, El-Mogassabi AH, Mansor SM,et al. Iliopsoas abscess: clinical presentation, management, and outcome. Int Surg J. 2019; 6:17-21. doi: 10.18203/2349-2902.isj20185458.
- 27. Yilmaz H, Cakmak M, Inan O,et al. Can neutrophil-lymphocyte ratio be independent risk factor for predicting acute kidney injury in patients with severe sepsis?. Ren Fail. 2015; 37:225-29. doi:10.3109/0886022X.2014.982477
- 28. Shen Y, Huang X, Zhang W. Platelet-to-lymphocyte ratio as a prognostic predictor of mortality for sepsis: interaction effect with disease severity-a retrospective study. BMJ Open. 2019; 9:e022896. doi:10.1136/bmjopen-2018-022896
- 29. Hu ZD, Lippi G, Montagnana M . Diagnostic and prognostic value of red blood cell distribution width in sepsis: A narrative review. Clin Biochem. 2020; 77:1-6. doi:10.1016/j.clinbiochem.2020.01.001
- 30. Kim YC, Song JE, Kim EJ, et al. A Simple Scoring System Using the Red Blood Cell Distribution Width, Delta Neutrophil Index, and Platelet Count to Predict Mortality in Patients With Severe Sepsis and Septic Shock. J Intensive Care Med. 2019; 34:133-39. doi:10.1177/0885066618787448
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Cerrahi, Klinik Tıp Bilimleri, İç Hastalıkları |
| Bölüm | Özgün Makaleler |
| Yazarlar | |
| Erken Görünüm Tarihi | 15 Mayıs 2023 |
| Yayımlanma Tarihi | 15 Mayıs 2023 |
| Kabul Tarihi | 6 Nisan 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 5 Sayı: 2 |
Cited By
Psoas abscess: an uncommon disorder
Postgraduate Medical Journal
https://doi.org/10.1093/postmj/qgad110
Chief Editors
Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Turkey
Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Turkey
E-mail: medrecsjournal@gmail.com
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Medical Records Association (Tıbbi Kayıtlar Derneği)
Address: Düzce / Türkiye
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