engleski

Primary bilateral iliopsoas abscess in an elderly man

Primary bilateral iliopsoas abscesses in the elderly are very rare in Europe. We report a case of an elderly male misdiagnosed with theumatic low back pain. The delay in accurate diagnosis and therapy led to severe worsening of his general condition and septic shock. The diagnosis was established by multi-slice computed tomograpy (MSCT) and the patient was successfully treated by mSCT-guided percutaneous drainage of both psoas muscles. Septic shock and miscellaneous complications required continous intensive care. The patient was discharged after 42 days of hospital treatment. Antibiotic therapy continued for next six weeks until complete recovery. Pain remains the most frequent and predominant symptom of spinal pathology regardless of the etiology. Immunocompromised patients or signs suggestive of bacterial infection require caution and a more comprehensive diagnostic work-up.

iliopsoas abscess; percutaneous drainage

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