Abstract | STUDY DESIGN: This study reports on an extremely rare case of tuberculous psoas abscess and describes the mode of diagnosis and treatment. OBJECTIVE: SUMMARY OF BACKGROUND DATA: No recent cases of latent solitary tuberculous psoas abscess have been reported, to the authors' knowledge. METHODS: A tuberculous psoas abscess associated with fistula to the greater trochanter may remain dormant for years after tuberculous spondylitis has healed, as a distinct entity without concomitant active bone infection. In our 58-year-old female patient, the diagnosis of a psoas abscess was greatly aided by the "three pass" technetium bone scan and computed tomography, but the anamnesis also was important. RESULTS: Anti- tuberculosis medication ( streptomycin, aminosalicylic, and isoniazid) combined with open drainage, curettage of the psoas, and simultaneous revision of the fistula eradicated the disease, making the course of the disease uneventful until the 5-year follow-up evaluation. CONCLUSIONS: Orthopedic surgeons must be aware of the rare, delayed appearance of a solitary psoas abscess after tuberculous spondylitis.
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Authors | P Korovessis, E Papadaki, M Repanti, M Stamatakis |
Journal | Spine
(Spine (Phila Pa 1976))
Vol. 20
Issue 15
Pg. 1709-12
(Aug 01 1995)
ISSN: 0362-2436 [Print] United States |
PMID | 7482022
(Publication Type: Case Reports, Journal Article)
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Topics |
- Female
- Humans
- Lumbar Vertebrae
(diagnostic imaging)
- Middle Aged
- Muscular Diseases
(diagnostic imaging, etiology)
- Psoas Abscess
(diagnostic imaging, etiology)
- Radiography
- Spondylitis
(complications, diagnostic imaging)
- Thoracic Vertebrae
(diagnostic imaging)
- Time Factors
- Tuberculosis, Osteoarticular
(complications, diagnostic imaging)
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