CURRENT ISSUES OF DIAGNOSIS, TREATMENT AND SUBSEQUENT REHABILITATION OF PATIENTS WITH PURULENT ILIOPSOAS
Presents a literature review on the problem of the origin and development of purulent iliopsoas. These facts, stating that in recent times the incidence of this disease is steadily increasing and includes a large number of patients with purulent iliopsoas young working age. This is primarily due to the development of intravenous drug use, reduction of immune status in HIV infection. Peculiarities of pathogenesis of purulent iliopsoas, presents the factors that have a provocative effect on the emergence and development of purulent-inflammatory process, among which the most important are trauma, hypothermia, diabetes mellitus, renal failure, HIV infection, drug addiction, alcoholism, prolonged use of glucocorticoids, stress factors. Provides information confirming that purulent iliopsoas is an important medico-social problem. Described, to verify the diagnosis of iliopsoas need to apply a comprehensive study including clinical and anamnestic data, clinical and biochemical parameters, instrumental methods, of which the most informative is computed tomography of the retroperitoneum and the results of bacteriological analysis. Stated that the implementation of timely surgical intervention, followed by appropriate antibiotic therapy allows to achieve good results in the treatment of a rare and severe disease – purulent of ileopsoas.