A rare case of tuberculosis psoas abscess

Tüberküloz mikobakterilerin çeşitli alt tipleri tarafından oluşturulan sık görülen bir enfeksiyon hastalığıdır. İnsanlarda genelde mycobacterium tuberculosis alt tipi hastalık yapar. Vertabral tüberküloz (pott hastalığı) iskelet sistemi tüberkülozunun en sık görülen formudur. Komşuluk yolu ile psoas apsesine neden olabilir. Bu olgu sunumunda kronik sırt ağrısı zemininde akut sırt ağrısı ve kronik yorgunluk şikayeti ile başvuran, tüberküloz spondilit ve psoas absesi teşhisi konularak cerrahi drenaj ve beraberinde tüberküloz tedavisi başlanan bir kadın hastayı sunuyoruz.

Nadir psoas tüberkuloz apse vakası

Tuberculosis (TB) is a common infectious disease, caused by various strains of mycobacteria, usually Mycobacterium tuberculosis in human. Vertebral TB (pott s disease) is the most common form of skeletal TB which may give rise to psaoas abscess because of close vicinity. We present a case of a woman who presented to our university hospital with a history of acute on chronic back pain and chronic fatigue. She was subsequently diagnosed with tuberculosis spondylitis (Pott s disease) and Psoas abscess. Surgical drainage with adjuvant anti-tuberculosis therapy was carried out.

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  • 1. Bhan S, Nag V. Skeletal tuberculosis. In: Sharma SK, Mohan A, editors. Tuberculosis. New Delhi: Jaypee Brothers Medical Publishers; 2001 p. 237-60.
  • 2. Malaviya AN, Kotwal PP. Arthritis associated with tuber- culosis. Best Pract Res Clin Rheumatol 2003; 17:319-43.
  • 3. Watts HG, Lifeso RM. Tuberculosis of bones and joints, J Bone Joint Surg Am 1996;78:288–98.
  • 4. Hsu SH, Sun JS, Chen IH, Liu TK. Reappraisal of skeletal tuberculosis: role of radiological imaging, J Formos Med Assoc 1993;92:34–41.
  • 5. McLain RF, Isada C. Spinal tuberculosis deserves a place on the radar screen. Cleveland Clinic J Med 2004;71:537- 9, 543-9.
  • 6. Sternbach G, Pott P. Tuberculous spondylitis, J Emerg Med 1996;14:79–83
  • 7. Pande KC, Babhulkar SS. Atypical spinal tuberculosis, Clin Ortho Relat Res 2002;398:67–74.
  • 8. Jasmer RM, Nahid P, Hopewell PC. Clinical practice: la- tent tuberculosis infection. N Eng J Med 2002;347(23): 1860–6
  • 9. Pantongrag-Brown L, Suwanwela N. CT findings in tuber- culous spondylitis. Aust Radiol 1992;36:4–7
  • 10. Sinan T, Al-Khawari H, Ismail M, Ben-Nakhi A, Sheikh M, Spinal tuberculosis: CT and MRI feature. Ann Saudi Med 2004:24:437–41
  • 11. Brisson-Noel A, Gicquel B, Lecossier D, Levy-Frebault V, Nassif X, Hance AJ. Rapid diagnosis of tuberculosis by amplification of mycobacterial DNA in clinical samples. Lancet 1989;2:1069–71.
  • 12. Uzunkoy A, Harma M, Harma M. Diagnosis of abdominal tuberculosis: experience from 11 cases and review of the literature. World J Gastroenterol 2004;10:3647–49.
  • 13. Shah S, Miller A, Mastellone A, et al. Rapid diagnosis of tuberculosis in various biopsy and body fluid specimens by the AMPLICOR Mycobacterium tuberculosis polymerase chain reaction test.Chest 1998;113:1190–4.
  • 14. Yun YJ, Lee KH, Haihua L, et al. Detection and identi- fication of Mycobacterium tuberculosis in joint biopsy specimens by rpoB PCR cloning and sequencing. J Clin Microbiol 2005;43:174–8.
  • 15. Handa U, Garg S, Mohan H, Garg SK. Role of fine-nee- dle aspiration cytology in tuberculosis of bone. Diagn Cytopathol 2010;38:1-4.
  • 16. Maron R, Levine D, Dobbs TE, Geisler WM. Two cases of Pott disease associated with bilateral psoas abscesses. Spine 2006;31:E561-E564
European Journal of General Medicine-Cover
  • Başlangıç: 2015
  • Yayıncı: Sağlık Bilimleri Araştırmaları Derneği
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