[Bilateral epidural psoas abscess simulating bilateral proximal diabetic plexopathy].
We describe a diabetic woman with an epidural abscess and associated bilateral psoas abscesses which simulated the clinical course of diabetic bilateral proximal plexopathy. We emphasize three aspects: 1) the rarity of associated epidural abscess and bilateral psoas abscesses, 2) the rarity of the germ isolated (Streptococcus bovis), and 3) the diagnostic difficulties when both processes are associated, particularly in patients with an underlying disease that may simulate other common, clinical pictures.
Roquer
J
J
Servicio de Neurología, Hospital del Mar, Barcelona.
Sales
P
P
Paredes
S
S
Tuyet
J
J
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000994:Antitrichomonal Agents / Q000627:therapeutic use; D002439:Cefotaxime / Q000627:therapeutic use; D003929:Diabetic Neuropathies / Q000150:complications*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008795:Metronidazole / Q000627:therapeutic use; D016659:Psoas Abscess / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology*; D016985:Streptococcus bovis / Q000302:isolation & purification*
D000900:Anti-Bacterial Agents; D000994:Antitrichomonal Agents; D008795:Metronidazole; D002439:Cefotaxime
Absceso epidural y bilateral de psoas simulando una plexopatía proximal bilateral del diabético.