Psoas Abscess Secondary To Pott’s Spine: A Case Report.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 1
Abstract
Tuberculosis is an ancient disease. Skeletal system involvement is seen in 1%-10% tuberculosis patients. Vertebral tuberculosis is the most common form of bone involvement and amounts for 50% cases of skeletal tuberculosis. About 5% cases of Pott’s disease develop psoas abscess. Psoas abscess secondary to Pott’s spine is rare entity. Here we are reporting a case of psoas abscess secondary to Pott’s spine. A 28 year old female was brought to outpatient department of surgery with complaints of swelling over the left lower back since one month along with back pain and fever since 6-7 months. On local examination, swelling was noticed over the left lumbar and gluteal region, non-tender and soft in consistency. On ultrasound abdomen, a well defined cystic, thick walled lesion was noticed. On CT scan of abdomen and pelvis a well defined hypodense fluid involving the left psoas muscle was observed suggestive of psoas abscess. Under antibiotic coverage, incision and drainage of the abscess was done & sample was sent to microbiology department. On ZN staining, acid fast bacilli were seen. The patient was started on Category 1 of anti-tubercular treatment. Growth on LJ medium was seen after 25-30 days of incubation. By 4 weeks the patient showed improvement in her condition and was discharged.
Authors and Affiliations
Dr. Kishor Ingole, Dr Suwarna Pawar, Dr. Sarika Pathak, Dr. Anu Sharma
Keywords
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- EP ID EP263191
- DOI 10.9790/0853-1701030104
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