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February 26, 2026Arab Board Medical Journal0 citationsOpen Access

Iliopsoas Pyomyositis in a Tropical Region as a Rare Cause of Sacroiliac Pain: A Case Report

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NRNitin RathodAFAndrea Janice FonsecaAJAayush Jayswal

Key Points

  • To highlight iliopsoas pyomyositis as a rare cause of sacroiliac pain in a young male.
  • Presented case of a young male with skeletal muscle abscesses and left sacroiliitis.
  • Conducted CT scan-guided aspiration and laparoscopic drainage of pus.
  • Identified Staphylococcus aureus after sample analysis.
  • Patient responded well to debridement and prolonged antibiotic treatment.
  • He was hemodynamically stable and discharged on antibiotics.
  • Initial brucellosis test yielded false-positive results.

Abstract

Export A young male presented with multiple skeletal muscle abscesses with left sacroiliitis joint pain. The patient also showed false false-positive brucellosis antibody test with a negative slide agglutination test. CT scan-guided aspiration of pus inside the pelvic region, as well as laparoscopic drainage of pus with debridement, showed Staphylococcus Aureus. Patient responded with debridement of the abscess along with a prolonged antibiotic course of Vancomycin and Clindamycin. He was hemodynamically and vitally stable, hence was discharged with antibiotics at home.

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Cite This Study

Rathod et al. (2025) studied this question.

synapsesocial.com/papers/699fe3f995ddcd3a253e8105https://doi.org/10.4103/abmj.abmj_31_25
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