{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T11:10:35Z","timestamp":1773054635781,"version":"3.50.1"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,6,5]],"date-time":"2022-06-05T00:00:00Z","timestamp":1654387200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>\n                      Iliopsoas abscesses (IPA) are rare and typically present with a non-specific triad of fever, back pain, and antalgic gait.\n                      <jats:italic toggle=\"yes\">Staphylococcus aureus<\/jats:italic>\n                      is the organism responsible for nearly 90 % of IPA cases. We present a case of primary IPA with progression to osteomyelitis and discitis due to\n                      <jats:italic toggle=\"yes\">Salmonella enterica<\/jats:italic>\n                      bacteremia, an exceedingly rare etiology occurring in an otherwise healthy individual.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>\n                      This patient presented with fever, back pain, and hip pain. Initial imaging and laboratory workup did not reveal any source of infection. He became septic within 72 h of admission, and blood cultures were confirmed as\n                      <jats:italic toggle=\"yes\">Salmonella enterica<\/jats:italic>\n                      . However, the etiology of the infection remained unclear. Computed Tomography (CT) imaging revealed a right-sided psoas abscess measuring 7 mm \u00d7 7 mm and an epidural phlegmon. He was discharged home with intravenous ceftriaxone and levofloxacin. However, the patient was readmitted due to L2-L3 osteomyelitis and discitis with an eccentric disc bulge causing compression of the right L3 nerve root and neutropenia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>This case in unique in the fact that this occurred in a healthy patient with no significant risk factors or exposure to this bacteria. Additionally, this case highlights the rapid progression of IPA and the spread to adjacent spinal structures with the potential to cause nerve compression with successful medical management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Salmonella enterica<\/jats:italic>\n                      is rare cause of iliopsoas abscess. This case emphasizes the importance of including iliopsoas abscesses as a differential diagnosis in patients with a high index of clinical suspicion.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107287","type":"journal-article","created":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T21:19:07Z","timestamp":1654636747000},"page":"107287","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Epidural phlegmon and iliopsoas abscess caused by Salmonella enterica bacteremia"],"prefix":"10.1097","volume":"96","author":[{"given":"Michael","family":"Mousselli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emerald","family":"Chiang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petros","family":"Frousiakis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-19-20260309","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1111\/j.1463-1318.2006.01135.x","article-title":"Psoas abscess - not as rare as we think?","volume":"9","author":"Garner","year":"2007","journal-title":"Color. Dis"},{"key":"R2-19-20260309","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jinf.2011.05.008","article-title":"Increasing incidence of iliopsoas abscesses with MRSA as a predominant pathogen","volume":"63","author":"Alonso","year":"2011","journal-title":"J. Infect"},{"key":"R3-19-20260309","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1136\/pgmj.2003.017665","article-title":"Iliopsoas abscesses","volume":"80","author":"Mallick","year":"2004","journal-title":"Postgrad. Med. 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Surg"},{"key":"R7-19-20260309","doi-asserted-by":"crossref","first-page":"180","DOI":"10.2174\/1874325001812010180","article-title":"A devasting course of an iliopsoas muscle abscess subsequently leading to septic shock, septic hip arthritis, and extended gluteal soft tissue necroses in an elderly immunocompromised patient with multiple carcinomas: a case report and brief review of literature","volume":"12","author":"Schmidt","year":"2018","journal-title":"Open Orthop. J"},{"key":"R8-19-20260309","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1016\/j.jiac.2020.05.016","article-title":"Spinal epidural abscess caused by non-typhoidal salmonella: a case report and literature review","volume":"26","author":"Hirai","year":"2020","journal-title":"J. Infect. 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