1. DergiPark
  2. Marmara Medical Journal
  3. Archive
  4. Volume 28, Issue 3
Year 2015, Volume 28 , Issue 3, Pages 165 - 168 2015-11-28

A late diagnosis of Pott’s disease in an adolescent with psoas abscess
Pott hastalığı sonrası psoas absesi gelişen bir adolesan olgu

Hacer AKTÜRK [1] , Selda HANÇERLİ TÖRÜN [2] , Bahar ÇALIŞKAN [3] , Oğuz EROL [4] , Feryal GÜN [5] , Nuran SALMAN [6] , Ayper SOMER [7]

Abstract

Psoas abscess is classified as primary or secondary according to presence or absence of the underlying focus of infection. Secondary psoas abscesses are much more common and tuberculosis of the spine (Pott’s disease) is one of the leading predisposing diseases. Here we report a 16-year-old male presented with flank pain and abdominal distention, followed by spontaneous purulent drainage from lower back and lower abdomen. Eventually a painful swelling appeared below the right knee about one year after the appearance of the first symptoms. He was diagnosed as Pott’s disease and secondary psoas abscess based on specific culture of draining pus, which yielded Mycobacterium tuberculosis and spinal magnetic resonance imaging (MRI) findings. Psoas abscess due to Pott’s disease may show a nonspecific and chronic clinical course resulting in a late diagnosis and increased morbidity, as in the reported case. Clinicians in the endemic countries should be aware of this rare and challenging clinical entity
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.

References

  • 1. Mynter H. Acute psoitis, Buffalo Med Surg J 1881; 21: 202-10.
  • 2. Turunç T, Turunç T, Demiroğlu YZ, Colakoğlu S. Retrospective evaluation of 15 cases with psoas abscesses. Mikrobiyol Bul 2009;43:121-5.
  • 3. Altıntaş N, Türkeli S, Yılmaz Y, Sarıaydın M, Yaşayancan N. A rare case of tuberculosis psoas abscess. Eur J Gen Med 2012;9:159-61.
  • 4. Janssens JP, De Haller R. Spinal tuberculosis in a developed country: A review of 26 cases with special emphasis on abscesses and neurologic complications. Clin Orthop 1990;257:67–75.
  • 5. Maron R, Levine D, Dobbs TE, Geisler WM. Two cases of Pott’s disease associated with bilateral psoas abscesses: case report. Spine 2006 15;31:E561-64. doı: 10.1097/01. brs.0000225998.99872.7f
  • 6. Nussbaum ES, Rockswold GL, Bergman TA, et al. Spinal tuberculosis: A diagnostic and management challenge. J Neurosurg 1995;83:243–47.
  • 7. Pertuiset E, Beaudreuil J, Liote F, et al. Spinal tuberculosis in adults. A study of 103 cases in a developed country, 1980– 1994. Medicine 1999;78:309–20. 0025-7974/99/7805-0309/0
  • 8. Berge VM, Marie S, Kuipers T, Jansz AR, Bravenboer B. Psoas abscess: report of a series and review of the literature. Neth J Med 2005;63:413-16.
  • 9. Lopez VN, Ramos MJ, Meseguer V, et al. Microbiology and outcome of iliopsoas abscess in 124 patients. Medicine (Baltimore). 2009; 88:120-30. doı: 10.1097/ MD.0b013e31819d2748
  • 10. Penado S, Espina B, Francisco Campo J. Abscess of the psoas muscle. Description of a series of 23 cases. Enferm Infecc Microbiol Clin 2001;19:257-60.
  • 11. Van den Berge M, de Marie S, Kuipers T, Jansz AR, Bravenboer B. Psoas abscess: report of a series and review of the literature. Neth J Med 2005;63:413-16.
  • 12. Santaella RO, Fishman EK, Lipsett PA. Primary vs. secondary iliopsoas abscess: presentation, microbiology and treatment. Arch Surg 1995;130:130913. doi:10.1001/ archsurg.1995.01430120063009
  • 13. Zissin R, Gayer G, Kots E, Werner M, Shapiro-Feinberg M, Hertz M. Iliopsoas abscess: a report of 24 patients diagnosed by CT. Abdom Imaging 2001;26:533-39. doi: 10.1007/ s002610000201
  • 14. Fitzgerald D, Haas DW. Mycobacterium tuberculosis. In: Mandell GL, Bennett JE, Dolin R, editors. Mandell, Douglas, and Bennett’s: Principles and Practice of Infectious Diseases. 6th ed. Philadelphia: Elsevier Churchill Livingstone, 2005:2852–86.
  • 15. Boxer DI, Pratt C, Hine AL, et al. Radiological features during and following treatment of spinal tuberculosis. Br J Radiol 1992;65:476–79. doi:http://dx.doi.org/10.1259/0007-1285- 65-774-476

Details

Primary Language en
Subjects Medicine
Journal Section Case Reports
Authors

Author: Hacer AKTÜRK

Author: Selda HANÇERLİ TÖRÜN

Author: Bahar ÇALIŞKAN

Author: Oğuz EROL

Author: Feryal GÜN

Author: Nuran SALMAN

Author: Ayper SOMER
Dates

Publication Date : November 28, 2015

Cite

Bibtex @research article { marumj3217, journal = {Marmara Medical Journal}, issn = {1019-1941}, eissn = {1309-9469}, address = {}, publisher = {Marmara University}, year = {2015}, volume = {28}, pages = {165 - 168}, doi = {10.5472/MMJcr.2803.03}, title = {A late diagnosis of Pott’s disease in an adolescent with psoas abscess}, key = {cite}, author = {Aktürk, Hacer and Hançerli̇ Törün, Selda and Çalışkan, Bahar and Erol, Oğuz and Gün, Feryal and Salman, Nuran and Somer, Ayper} }
APA Aktürk, H , Hançerli̇ Törün, S , Çalışkan, B , Erol, O , Gün, F , Salman, N , Somer, A . (2015). A late diagnosis of Pott’s disease in an adolescent with psoas abscess . Marmara Medical Journal , 28 (3) , 165-168 . DOI: 10.5472/MMJcr.2803.03
MLA Aktürk, H , Hançerli̇ Törün, S , Çalışkan, B , Erol, O , Gün, F , Salman, N , Somer, A . "A late diagnosis of Pott’s disease in an adolescent with psoas abscess" . Marmara Medical Journal 28 (2015 ): 165-168 <https://dergipark.org.tr/en/pub/marumj/issue/433/3217>
Chicago Aktürk, H , Hançerli̇ Törün, S , Çalışkan, B , Erol, O , Gün, F , Salman, N , Somer, A . "A late diagnosis of Pott’s disease in an adolescent with psoas abscess". Marmara Medical Journal 28 (2015 ): 165-168
RIS TY - JOUR T1 - A late diagnosis of Pott’s disease in an adolescent with psoas abscess AU - Hacer Aktürk , Selda Hançerli̇ Törün , Bahar Çalışkan , Oğuz Erol , Feryal Gün , Nuran Salman , Ayper Somer Y1 - 2015 PY - 2015 N1 - doi: 10.5472/MMJcr.2803.03 DO - 10.5472/MMJcr.2803.03 T2 - Marmara Medical Journal JF - Journal JO - JOR SP - 165 EP - 168 VL - 28 IS - 3 SN - 1019-1941-1309-9469 M3 - doi: 10.5472/MMJcr.2803.03 UR - https://doi.org/10.5472/MMJcr.2803.03 Y2 - 2021 ER -
EndNote %0 Marmara Medical Journal A late diagnosis of Pott’s disease in an adolescent with psoas abscess %A Hacer Aktürk , Selda Hançerli̇ Törün , Bahar Çalışkan , Oğuz Erol , Feryal Gün , Nuran Salman , Ayper Somer %T A late diagnosis of Pott’s disease in an adolescent with psoas abscess %D 2015 %J Marmara Medical Journal %P 1019-1941-1309-9469 %V 28 %N 3 %R doi: 10.5472/MMJcr.2803.03 %U 10.5472/MMJcr.2803.03
ISNAD Aktürk, Hacer , Hançerli̇ Törün, Selda , Çalışkan, Bahar , Erol, Oğuz , Gün, Feryal , Salman, Nuran , Somer, Ayper . "A late diagnosis of Pott’s disease in an adolescent with psoas abscess". Marmara Medical Journal 28 / 3 (November 2015): 165-168 . https://doi.org/10.5472/MMJcr.2803.03
AMA Aktürk H , Hançerli̇ Törün S , Çalışkan B , Erol O , Gün F , Salman N , Somer A . A late diagnosis of Pott’s disease in an adolescent with psoas abscess. Marmara Med J. 2015; 28(3): 165-168.
Vancouver Aktürk H , Hançerli̇ Törün S , Çalışkan B , Erol O , Gün F , Salman N , Somer A . A late diagnosis of Pott’s disease in an adolescent with psoas abscess. Marmara Medical Journal. 2015; 28(3): 165-168.
IEEE H. Aktürk , S. Hançerli̇ Törün , B. Çalışkan , O. Erol , F. Gün , N. Salman and A. Somer , "A late diagnosis of Pott’s disease in an adolescent with psoas abscess", Marmara Medical Journal, vol. 28, no. 3, pp. 165-168, Nov. 2015, doi:10.5472/MMJcr.2803.03
Authors of the Article
Hacer AKTÜRK [1]
Selda HANÇERLİ TÖRÜN [2]
Bahar ÇALIŞKAN [3]
Oğuz EROL [4]
Feryal GÜN [5]
Nuran SALMAN [6]
Ayper SOMER [7]
Submit Article
Archive
Editorial Board
Contact
Emerging Sources Citation Index (ESCI)
Emerging Sources Citation Index (ESCI)
TR Dizin
TR Dizin
Scopus
Scopus