A Case of Iliopsoas Abscess Complicating Active Crohn's Disease during Infliximab Induction Treatment.
- Author:
Seung Kyu CHUNG
1
;
Chang Kyun LEE
;
Kyoung Hwan LEE
;
Bum Suk SON
;
Duk Su KIM
;
Sun Joo KIM
;
Kil Ho KANG
Author Information
1. Department of Internal Medicine, Soon Chun Hyang University College of Medicine,Cheonan Hospital, Cheonan, Korea. cklee92@paran.com
- Publication Type:Case Report
- Keywords:
Crohn Disease;
Psoas Abscess;
Infliximab
- MeSH:
Anti-Bacterial Agents;
Antibodies, Monoclonal;
Contracture;
Crohn Disease;
Drainage;
Gait;
Humans;
Infliximab;
Psoas Abscess;
Sacroiliac Joint;
Young Adult
- From:Intestinal Research
2009;7(2):118-122
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Psoas abscesses are rare clinical entities complicating Crohn's disease (CD). However, psoas abscesses can cause poor outcomes because the diagnosis is frequently delayed due to the non-specific clinical features. Recently, we managed a case of a huge iliopsoas abscess in a 21-year-old man with a 4-year history of CD who presented with a limping gait and flexion contractures of the sacroiliac joint. Notably, the iliopsoas abscess developed during induction treatment with infliximab. The patient was successfully treated with antibiotics, surgical drainage, and a right hemicolectomy. Herein we present the case with a brief review of the literature.