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Med J Bakirkoy. 2011; 7(2): 79-81


Psoas abscess secondary to Brucellosis

Selim Sözen, Cemal Üstün, Hasan Baki Altınsoy.

Abstract
Skeletal system involvement is relatively a common complication of human brucellosis, however, muscular involvement and psoas abscess are less frequent. Psoas abscess is a rare clinical situation which if not considered the diagnosis is very difficult. Ultrasonography and computed tomography of abdomen are used for the diagnosis. Combination of antibiotic treatment and drainage are recommended in the management of psoas abscess. In this report a patient of 63 years old with severe hip pain which an abscess in the psoasmuscle was determined by CT is discussed

Key words: Psoas abscess, percutaneous abscess drainage, Brucellosis



Bruselloza sekonder gelişen psoas absesi

Özet
İskelet sistemi tutulumu brusellozun yaygın görülen bir komplikasyonu olup kas tutulumu ve psoas apseleri daha nadir görülmektedir. Psoas absesi nadir görülen, akla getirilmediği sürece güç tanı konabilen bir klinik tablodur. Tanı için genellikle batın ultrasonografisi ve bilgisayarlı tomografi yeterli olmaktadır. Psoas absesi yönetiminde antibiyotik tedavisi ve direnaj kombinasyonu önerilmektedir. Bu yazıda 45 yaşında şiddetli kalça ağrısı nedeniyle başvuran ve CT ile psoas kasında abse tespit edilen bir olgu tartışıldı.

Anahtar Kelimeler: Psoas absesi, perkütanöz apse drenaj, Bruselloz



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