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KMID : 0383820080650060517
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Tuberculosis and Respiratory Diseases
2008 Volume.65 No. 6 p.517 ~ p.521
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A Case of Tuberculous Psoas Abscess Caused by Tuberculous Lymphadenopathy
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Park Mi-Youn
Park Jin-Young
Yu Ji-Yoen
Kim Seung-Su
Kim Myung-Sook
Kim Ji-Chang
Ahn Chang-Joon
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Abstract
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A tuberculous psoas abscess is a frequently described complication of tuberculous spondylitis. Although rare,
a tuberculous psoas abscess can develop without any demonstrable spinal involvement. In patients with no
evidence of sponylitis, the abscess may result from direct spread from the involved lymph node or via a
hematogeous route. The treatment of a psoas abscess is either drug therapy or surgical intervention in conjunction
with drug therapy. Image-guided percutaneous drainage in conjunction with drug therapy is also
a safe and effective treatment for a tuberculous psoas abscess. We report an unusual case of bilateral tuberculous
psoas abscesses without any concomitant spinal involvement. The tuberculous psoas abscess may have
formed by fistulization between the necrotic lymph node and psoas sheath. The diagnosis was confirmed
by computed tomography and a histology examination of the biopsy sample. The patient improved after
administering anti-tuberculous agents for 2 years along with surgical and percutaneous drainage of the abscess.
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KEYWORD
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Tuberculosis, Psoas abscess, Lymphadenopathy
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