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Primary Psoas abscess (PPA) is an infrequent clinical entity with obscure pathogenesis and vague clinical presentation. High index of clinical suspicion is required for the diagnosis of psoas abscess. We also emphasises the importance of bacteriological confirmation of microorganism involved, although  Staphylococcus aureus  remains the commonest pathogen. We report an extremely rare case of PPA caused by  Streptococcus milleri . Only one case has been reported in literature so far.

Primary psoas abscess due to Streptococcus milleri