Tuberculous Abscess of the Psoas Muscle in a Patient with Acute Lumbar Burst Fracture: A Missed Diagnosis.
10.14245/kjs.2011.8.4.288
- Author:
Jin Sung CHEONG
1
;
Ki Seong EOM
Author Information
1. Department of Neurology, Wonkwang University School of Medicine, Iksan, Korea.
- Publication Type:Case Report
- Keywords:
Tuberculosis;
Psoas abscess;
Spondylitis
- MeSH:
Abscess;
Biopsy;
Emergencies;
Humans;
Magnetic Resonance Imaging;
Psoas Abscess;
Psoas Muscles;
Retrospective Studies;
Spondylitis;
Tuberculosis
- From:Korean Journal of Spine
2011;8(4):288-291
- CountryRepublic of Korea
- Language:English
-
Abstract:
The authors present a rare case of tuberculous spondylitis and a large abscess in the left psoas muscle that occurred after spinal surgery for an acute traumatic burst fracture of the L2 vertebral body. We retrospectively reviewed the patient's first magnetic resonance imaging (MRI) we found that some unusual findings, indicative of psoas abscess had been overlooked. As a result, diagnosis and treatment of tuberculous psoas abscess and spondylitis were considerably delayed. Despite the critical condition of patients in a similar emergency, surgeons should always pay close attention to the radiological findings and clinical symptoms of the patient before considering a surgical intervention or biopsy.
