Tubercular Iliopsoas Abscess: A Rare Case Report
Published: December 1, 2020 | DOI: https://doi.org/10.7860/JCDR/2020/46234.14350
Sunil Kumar Patanaik, Chaitali Pattanayak, Vartika Srivastava, Sougata Sarkar
1. Associate Professor, Department of Surgery, Kalinga Institute of Medical Sciences (KIMS), Bhubaneswar, Odisha, India.
2. Professor, Department of Pharmacology, Kalinga Institute of Medical Sciences (KIMS), Bhubaneswar, Odisha, India.
3. Assistant Professor, Department of Pharmacology, Kalinga Institute of Medical Sciences (KIMS), Bhubaneswar, Odisha, India.
4. DM Resident, Department of Pharmacology, School of Tropical Medicine, Kolkata, West Bengal, India.
Correspondence
Dr. Chaitali Pattanayak,
Department of Pharmacology, Kalinga Institute of Medical Sciences (KIMS), Campus 5, Patia, Bhubaneswar, Odisha, India.
E-mail: chaitali.pattanayak@kims.ac.in
A psoas (or iliopsoas) abscess is an accumulation of pus in the region of iliopsoas muscle compartment. In regions where Mycobacterium tuberculosis is endemic, this is a frequent cause of psoas abscess. When an inguinal mass in a patient with a psoas abscess is painless, tuberculosis is a more likely cause than a bacterial infection. Here, the author report a rare case of psoas abscess of tubercular origin in a 31-year-old patient who presented with back pain and limping, with features of inflammation. Diagnosis was done based on history, physical examination, ultrasonography, microbiological investigation and Contrast-Enhanced Computed Tomography (CECT) scan of abdomen which revealed a large psoas abscess caused by M. tuberculosis. Patient was diagnosed with a psoas abscess due to Mycobacterium tuberculosi with secondary infection and treated empirically with Directly Observed Treatment Short-Course (DOTS) category I and antibiotics. He presented again with a chest abscess due to Multidrug-Resistant (MDR) tuberculosis.
[
FULL TEXT ] | [ PDF]