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KMID : 0363120060190020278
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Korean Journal of Pain
2006 Volume.19 No. 2 p.278 ~ p.281
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Iliopsoas Pyomyositis Overlaping the Herniated Intervertebral Lumbar Disc Symptom - A case report -
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Lee Eun-Kyeng
Son Youn-Sook
Joe Hyun-Sook
Kang Jun-Ku
Kim Dae-Young
Lee Sang-Mook
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Abstract
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The diagnosis of pyomyositis in the pelvic region is difficult, as its incidence is relatively, with symptoms that mimic those of discogenic pain. Sciatica is a common presentation of a prolapsed lumbar disc. Less common causes, such as spinal stenosis, pelvic tumors or even primary nerve tumors can also cause these symptoms. Magnetic resonance imaging (MRI) is a useful diagnostic tool. Herein, the case of a patient with an acute pyogenic infection in the iliopsoas muscle, presenting with sciatica, is reported. This is a rare infective disease, which if promptly treated with intravenous antibiotics, can be completely resolved; otherwise, it can result in deep abscess formation, sepsis and death.
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KEYWORD
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herniated intervertebral disc, iliopsoas pyomyositis
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