Abstract
Hip adductor muscle abscesses that descend from an infected symphysis pubis are rare but cause serious morbidity. We present a case of a 73-year-old male patient with unilateral hip adductor muscle abscess that descended from septic symphysitis caused by Staphylococcus aureus. Surgical debridement of the adductor compartment could not clear the infection and secondary debridement of the symphysis was necessary to eradicate S. aureus. Additionally, we review another four cases with similarities to our case comparing their investigation, treatment, and outcome.
Highlights
Hip adductor muscle abscesses that descend from an infected symphysis are rare but cause serious illness in the affected individual
In a comprehensive review of septic symphysitis including 100 cases, only one patient was diagnosed with concomitant hip adductor muscle abscess [1]
We report a case of hip adductor muscle abscess secondary to septic symphysitis and present a review of four other cases that were identified in PubMed (US national library of medicine) [3,4,5,6]
Summary
Hip adductor muscle abscesses that descend from an infected symphysis are rare but cause serious illness in the affected individual. We report a case of hip adductor muscle abscess secondary to septic symphysitis and present a review of four other cases that were identified in PubMed (US national library of medicine) [3,4,5,6]. We discuss their laboratory, radiology, microbiology, treatment, and outcome. ASAT: aspartate aminotransferase; ALAT: alanine aminotransferase; y-GT: y-glutamyl- transpeptidase; LDH: lactic dehydrogenase; CK: creatine kinase; CRP: C-reactive protein *Value not within the normal range He was admitted to hospital and pelvic MRI was performed. There was no pain over the symphysis or the right adductor compartment and the patient used a cane but was able to walk without aid
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