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KMID : 0361620070420040553
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Journal of the Korean Orthopaedic Association
2007 Volume.42 No. 4 p.553 ~ p.555
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The Recurrent Psoas Abscess Caused by Two Different Pathogens - A Case Report -
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Jeon Chang-Hoon
Jeong Un-Seob
Chung Gu-Young
Kim Sang-Hwan
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Abstract
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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 37.8oC 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.
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KEYWORD
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Recurrent psoas abscess, Different pathogens, Appendicitis
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