TY  - JOUR
T1  - A late diagnosis of Pott’s disease in an adolescent with psoas abscess
TT  - Pott hastalığı sonrası psoas absesi gelişen bir adolesan olgu
AU  - Aktürk, Hacer
AU  - Hançerli Törün, Selda
AU  - Çalışkan, Bahar
AU  - Erol, Oğuz
AU  - Gün, Feryal
AU  - Salman, Nuran
AU  - Somer, Ayper
PY  - 2015
DA  - December
DO  - 10.5472/MMJcr.2803.03
JF  - Marmara Medical Journal
JO  - Marmara Med J
PB  - Marmara University
WT  - DergiPark
SN  - 1019-1941
SP  - 165
EP  - 168
VL  - 28
IS  - 3
LA  - en
AB  - Psoas abscess is classified as primary or secondary according topresence or absence of the underlying focus of infection. Secondarypsoas abscesses are much more common and tuberculosis of thespine (Pott’s disease) is one of the leading predisposing diseases.Here we report a 16-year-old male presented with flank pain andabdominal distention, followed by spontaneous purulent drainagefrom lower back and lower abdomen. Eventually a painfulswelling appeared below the right knee about one year after theappearance of the first symptoms. He was diagnosed as Pott’sdisease and secondary psoas abscess based on specific cultureof draining pus, which yielded Mycobacterium tuberculosis andspinal magnetic resonance imaging (MRI) findings. Psoas abscessdue to Pott’s disease may show a nonspecific and chronic clinicalcourse resulting in a late diagnosis and increased morbidity, as inthe reported case. Clinicians in the endemic countries should beaware of this rare and challenging clinical entity
KW  - Psoas abscess
KW  - Pott’s disease
KW  - tuberculosis
KW  - Differential diagnosis
N2  - Psoas abseleri altta yatan enfeksiyon odağının olup olmamasına göre primer ve sekonder olarak sınıflandırılmaktadır. Sekonder psoas abseleri daha sık görülür. Pott hastalığı olarak da bilinen vertebra tüberkülozu psoas abselerinin önde gelen nedenlerinden biridir. Bu yazıda, ilk olarak böğür ağrısı ve karında şişlik yakınmaları gelişen 16 yaşındaki bir erkek hasta tanıtılmaktadır. Bu yakınmaları takiben sırt ve karın bölgesinde kendiliğinden akıntı gelişmiş ve nihayetinde ilk yakınmalardan yaklaşık 1 yıl sonra sağ diz altı bölgesinde ağrı ve şişlik oluşmuştur. Hastaya, akıntının spesifik kültüründe Mycobacterium tuberculosis üremesi ve spinal MRI bulguları ile Pott hastalığına sekonder psoas absesi tanısı konulmuştur. Pott hastalığına sekonder gelişen psoas abselerinde kronik ve belirsiz klinik süreçler görülebilir. Bu durum ise, hastamızda olduğu gibi tanıda gecikmeyle sonuçlanabilir. Özellikle tüberkülozun endemik olduğu ülkelerde klinisyenlerin bu nadir ve tanısı karışıklık yaratabilen hastalığı akılda tutmaları gerekmektedir.
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UR  - https://doi.org/10.5472/MMJcr.2803.03
L1  - https://dergipark.org.tr/en/download/article-file/2653
ER  -