Pott's disease with extensive bilateral psoas abscesses in a Nigerian woman: an unusual case

Bilateral psoas abscesses are uncommon in Pott's disease. We describe a 28-year-old Nigerian woman with a 2-year history of constitutional symptoms and a 1-year history of bilateral paravertebral masses. She had received anti-tuberculosis (TB) treatment in an interrupted manner. A computed tomo...

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Detalles Bibliográficos
Autores principales: Iloanusi, Nneka I, Unigwe, Uche S, Uche, Enoch O, Iroezindu, Michael O, Okafor, Okechukwu C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Medical Association Of Malawi 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7812151/
https://www.ncbi.nlm.nih.gov/pubmed/33488989
http://dx.doi.org/10.4314/mmj.v32i3.10
Descripción
Sumario:Bilateral psoas abscesses are uncommon in Pott's disease. We describe a 28-year-old Nigerian woman with a 2-year history of constitutional symptoms and a 1-year history of bilateral paravertebral masses. She had received anti-tuberculosis (TB) treatment in an interrupted manner. A computed tomography (CT) scan revealed T10-T12 spondylitis, wedge collapse and extensive bilateral psoas abscesses. Histology of the abscess wall was definitively diagnosed as soft tissue TB, and special staining for acid-fast bacilli was positive. She was successfully treated with anti-TB therapy and ultrasound-guided surgical drainage of 6 L of abscess fluid. Complicated cases of Pott's disease may require multi-disciplinary interventions for optimal outcome.

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