The Recurrent Psoas Abscess Caused by Two Different Pathogens: A Case Report.
10.4055/jkoa.2007.42.4.553
- Author:
Chang Hoon JEON
1
;
Un Seup JEOUNG
;
Gu Young CHUNG
;
Sang Hwan KIM
Author Information
1. Department of Orthopedic Surgery, Ajou University College of Medicine, Suwon, Korea. chjeon@ajou.ac.kr
- Publication Type:Case Report
- Keywords:
Recurrent psoas abscess;
Different pathogens;
Appendicitis
- MeSH:
Abscess;
Anorexia;
Anti-Bacterial Agents;
Appendectomy;
Appendicitis;
Catheters;
Drainage;
Escherichia coli;
Fever;
Humans;
Klebsiella pneumoniae;
Laparotomy;
Low Back Pain;
Magnetic Resonance Imaging;
Pelvis;
Psoas Abscess*;
Tomography, X-Ray Computed
- From:The Journal of the Korean Orthopaedic Association
2007;42(4):553-555
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of a recurrent psoas abscess caused by two different pathogens. The abdominal CT scans revealed a multiseptated cystic mass along the right psoas-iliacus muscle. The patient was treated with antibiotics treatment in combination with CT-guided percutaneous aspiration and drainage using a catheter. The microbiological examination revealed Klebsiella pneumoniae. Six months later, the patient presented with anorexia, malaise, epigastric pain, lower back pain and fever of 37.8 degrees C for a one-week duration. The abdominal CT scans revealed an abscess cavity on the inferior side of the right psoaos-iliacus muscle. This was accompanied by retrocecal appendicitis and a periappendiceal abscess. Magnetic resonance imaging of the pelvis showed that the psoas abscess was located on the right psoas-iliacus muscle. We performed an appendectomy and laparotomy. Subsequently, the culture yielded Escherichia coli in the psoas abscess. To our knowledge, this is the first case of a recurrent psoas abscess caused by two different pathogens.
