KMID : 1099620110080040288
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Korean Journal of Spine 2011 Volume.8 No. 4 p.288 ~ p.291
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Tuberculous Abscess of the Psoas Muscle in a Patient with Acute Lumbar Burst Fracture: A Missed Diagnosis
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:Cheong Jin-Sung
:Eom Ki-Seong
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Abstract
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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.
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KEYWORD
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Tuberculosis, Psoas abscess, Spondylitis
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