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KMID : 0882420090770000230
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Korean Journal of Medicine
2009 Volume.77 No. 0 p.230 ~ p.235
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A case of Klebsiella psoas abscess due to diverticulitis and intestinal tuberculosis
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Park Seung-Chan
Park Jung-Chul
Kwon Ki-Tae
Park Chang-Keun
Koo Mi-Jin
Shin Ji-Yeol
Cho Hae-Chang
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Abstract
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A 38-year-old male-to-female transgender patient who had undergone a transsexual operation 20 years earlier presented with right flank pain and chills. Abdominal CT scan and gastrografin colon enema revealed a right psoas abscess and an abnormal communication between the large bowel and this psoas abscess. She underwent a right hemicolectomy and was finally diagnosed as having a Klebsiella psoas abscess due to perforated diverticulitis and intestinal tuberculosis. Additional antibiotics and antituberculous medication were required. A secondary psoas abscess due to diverticulitis is rare, and to our knowledge, no case combined with intestinal tuberculosis has previously been reported. We present the case with a brief review of related reports.
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KEYWORD
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Psoas abscess, Diverticulitis, Klebsiella
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