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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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
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author Iloanusi, Nneka I
Unigwe, Uche S
Uche, Enoch O
Iroezindu, Michael O
Okafor, Okechukwu C
author_facet Iloanusi, Nneka I
Unigwe, Uche S
Uche, Enoch O
Iroezindu, Michael O
Okafor, Okechukwu C
author_sort Iloanusi, Nneka I
collection PubMed
description 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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spelling pubmed-78121512021-01-22 Pott's disease with extensive bilateral psoas abscesses in a Nigerian woman: an unusual case Iloanusi, Nneka I Unigwe, Uche S Uche, Enoch O Iroezindu, Michael O Okafor, Okechukwu C Malawi Med J Case Report 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. The Medical Association Of Malawi 2020-09 /pmc/articles/PMC7812151/ /pubmed/33488989 http://dx.doi.org/10.4314/mmj.v32i3.10 Text en © 2020 The College of Medicine and the Medical Association of Malawi. This work is licensed under the Creative Commons Attribution 4.0 International License. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Case Report
Iloanusi, Nneka I
Unigwe, Uche S
Uche, Enoch O
Iroezindu, Michael O
Okafor, Okechukwu C
Pott's disease with extensive bilateral psoas abscesses in a Nigerian woman: an unusual case
title Pott's disease with extensive bilateral psoas abscesses in a Nigerian woman: an unusual case
title_full Pott's disease with extensive bilateral psoas abscesses in a Nigerian woman: an unusual case
title_fullStr Pott's disease with extensive bilateral psoas abscesses in a Nigerian woman: an unusual case
title_full_unstemmed Pott's disease with extensive bilateral psoas abscesses in a Nigerian woman: an unusual case
title_short Pott's disease with extensive bilateral psoas abscesses in a Nigerian woman: an unusual case
title_sort pott's disease with extensive bilateral psoas abscesses in a nigerian woman: an unusual case
topic Case Report
url 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
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