{"pk":862,"title":"Atypical Cause of Sepsis from Bilateral Iliopsoas Abscesses Seeded from Self-mutilation: A Case Report","subtitle":null,"abstract":"Introduction:\n An iliopsoas abscess (IPA) is an abscess located adjacent to the iliopsoas and iliacus muscles. Although rare, their variable clinical presentations often lead to a delay in diagnosis.\nCase report:\n We present a case of sepsis secondary to multiple IPAs that was missed despite multiple healthcare encounters. The patient had no classical risk factors for an IPA, and the abscesses were found to be seeded via hematogenous spread from self-inflicted cutting.\nConclusion:\n This case illustrates the importance of obtaining a complete history, including psychiatric screen, and performing a thorough examination when evaluating patients with low back pain to rule out overlooked sources of bacteremia.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"abscess"},{"word":"sepsis"},{"word":"iliopsoas abscess"},{"word":"self-mutilation"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8fx441mk","frozenauthors":[{"first_name":"Sam","middle_name":"","last_name":"Langberg","name_suffix":"","institution":"University of Queensland School of Medicine, Ochsner Clinical School, Department of Emergency Medicine, New Orleans, Louisiana; Ochsner Health System, Department of Emergency Medicine, Division of Emergency Ultrasound, New Orleans, Louisiana","department":"None"},{"first_name":"Shayan","middle_name":"","last_name":"Azizi","name_suffix":"","institution":"University of Queensland School of Medicine, Ochsner Clinical School, Department of Emergency Medicine, New Orleans, Louisiana","department":"None"}],"date_submitted":"2020-07-07T19:34:40Z","date_accepted":"2020-07-07T19:34:40Z","date_published":"2020-07-07T19:35:30Z","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/862/galley/612/download/"}]}