How to diagnose psoas spasm in a patient with Urinary Tract Infection (UTI)?

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Detecting Psoas Spasm in UTI

The psoas sign should be assessed through specific physical examination maneuvers: pain with passive hip extension or pain with active hip flexion against resistance, combined with fever and localized tenderness over the psoas muscle region. 1, 2

Clinical Presentation

The classic triad for psoas involvement includes:

  • Fever - typically present as a systemic inflammatory response 2
  • Localized pain - in the flank, lower abdomen, or hip region that worsens with movement 2, 3
  • Psoas spasm - manifesting as a limp, inability to fully extend the hip, or pain with hip movement 2, 3

Physical Examination Techniques

Psoas Sign Testing

Perform these specific maneuvers to detect psoas muscle irritation:

  • Passive hip extension - With the patient lying on their side, extend the hip backward; pain indicates a positive psoas sign 1
  • Active hip flexion against resistance - Ask the patient to flex the hip while you provide resistance; pain suggests psoas involvement 1
  • Palpation - Deep palpation in the lower quadrant may reveal tenderness or a firm, wooden feel over the psoas region 1

Associated Findings

  • Antalgic gait or limp - The patient may walk with a characteristic limp to avoid psoas muscle activation 2, 3
  • Hip flexion posture - Patients often hold the hip in a flexed position to minimize psoas stretch 3
  • Limited hip range of motion - Particularly with extension movements 2

Imaging Confirmation

When psoas involvement is suspected clinically:

  • Ultrasound - Can demonstrate fluid collection in the psoas muscle in most cases (demonstrated in 13 of 16 patients in one series) 2
  • CT scan with contrast - Gold standard for confirming psoas abscess, showing either fluid collection or presuppurative changes 2, 4
  • MRI - Can be used but is not routinely necessary for diagnosis 2

Critical Context for UTI-Associated Cases

Psoas abscess secondary to UTI is uncommon but important to recognize. 4, 5 When UTI is the suspected source:

  • The infection typically spreads from pyelonephritis or perinephric infection to the adjacent psoas muscle 4, 6
  • E. coli is the most common organism in UTI-related psoas abscesses 2, 4, 6
  • Emphysematous UTI can rarely extend to cause psoas involvement 6

Laboratory Findings

Supporting laboratory evidence includes:

  • Elevated inflammatory markers - C-reactive protein and erythrocyte sedimentation rate 2
  • Leukocytosis - High neutrophil count may be present 2
  • Urinalysis abnormalities - Pyuria, bacteriuria if UTI is the source 4, 5

Important Pitfall

Avoid aggressive rectal examination when psoas abscess is suspected, as this can rupture the abscess and cause peritonitis. 3 The diagnosis should rely primarily on the psoas sign, imaging, and less invasive examination techniques.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Primary psoas abscess. A review of 16 cases.

Revue du rhumatisme (English ed.), 1998

Research

General peritonitis induced by rectal examination: an unusual complication of primary psoas abscess.

European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie, 1994

Research

Psoas abscess: report of a series and review of the literature.

The Netherlands journal of medicine, 2005

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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