A case of Klebsiella psoas abscess due to diverticulitis and intestinal tuberculosis.
- Author:
Seung Chan PARK
1
;
Jung Chul PARK
;
Ki Tae KWON
;
Chang Keun PARK
;
Mi Jin GU
;
Ji Yeol SHIN
;
Hea Chang CHO
Author Information
1. Department of Internal Medicine, Daegu Fatima Hospital, Daegu, Korea. ktkwon@fatima.or.kr
- Publication Type:Case Report
- Keywords:
Psoas abscess;
Diverticulitis;
Klebsiella
- MeSH:
Adult;
Anti-Bacterial Agents;
Chills;
Colon;
Diatrizoate Meglumine;
Diverticulitis;
Enema;
Flank Pain;
Humans;
Klebsiella;
Psoas Abscess;
Tuberculosis
- From:Korean Journal of Medicine
2009;77(Suppl 1):S230-S235
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 38-year-old male-to-female transgender patient who had undergone a transsexual operation 20 years earlier presented with right flank pain and chills. Abdominal CT scan and gastrografin colon enema revealed a right psoas abscess and an abnormal communication between the large bowel and this psoas abscess. She underwent a right hemicolectomy and was finally diagnosed as having a Klebsiella psoas abscess due to perforated diverticulitis and intestinal tuberculosis. Additional antibiotics and antituberculous medication were required. A secondary psoas abscess due to diverticulitis is rare, and to our knowledge, no case combined with intestinal tuberculosis has previously been reported. We present the case with a brief review of related reports.
