Iliopsoas Pyomyositis Overlaping the Herniated Intervertebral Lumbar Disc Symptom: A case report.
10.3344/kjp.2006.19.2.278
- Author:
Eun Kyeng LEE
1
;
Youn Sook SON
;
Hyun Sook JOE
;
Jun Ku KANG
;
Dae Young KIM
;
Sang Mook LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. ismoogi@hanmail.net
- Publication Type:Case Report
- Keywords:
herniated intervertebral disc;
iliopsoas pyomyositis
- MeSH:
Abscess;
Anti-Bacterial Agents;
Diagnosis;
Humans;
Incidence;
Magnetic Resonance Imaging;
Pelvis;
Pyomyositis*;
Sciatica;
Sepsis;
Spinal Stenosis
- From:The Korean Journal of Pain
2006;19(2):278-281
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The diagnosis of pyomyositis in the pelvic region is difficult, as its incidence is relatively, with symptoms that mimic those of discogenic pain. Sciatica is a common presentation of a prolapsed lumbar disc. Less common causes, such as spinal stenosis, pelvic tumors or even primary nerve tumors can also cause these symptoms. Magnetic resonance imaging (MRI) is a useful diagnostic tool. Herein, the case of a patient with an acute pyogenic infection in the iliopsoas muscle, presenting with sciatica, is reported. This is a rare infective disease, which if promptly treated with intravenous antibiotics, can be completely resolved; otherwise, it can result in deep abscess formation, sepsis and death.