[Psoas abscess secondary to lumbar spondylodiscitis caused by gram negative bacilli].
The association between psoas abscess and lumbar spondylodiscitis by Gram negative bacilli represents a rare clinical entity. Sometimes the absence of demonstrative symptoms complicates the diagnostic schema. We report about a 72 year-old woman, without previous known diabetes mellitus, who was admitted because of fever of one week duration and a non-ketotic hyperosmolar coma. A left psoas abscess was identified by abdominal computed tomography (CT). The abscess was in communication with the L1-L2 intervertebral space. Although Escherichia coli was identified as the causing agent and appropriate antibiotic therapy was administered, the resolution of the abscess occurred only after the implantation of a percutaneous catheter guided by CT without additional surgery. Percutaneous drainage as a diagnostic-therapeutic technique has rendered the surgery as the last resort in the treatment of psoas abscess.
Servicio de Endocrinología, Hospital Clínico Universitario, Valencia.
F J
FJ
Ampudia-Blasco
J
J
Fernandez
M D
MD
Ferrer
Y
Y
Pallardo
S
S
Tenes
R
R
Carmena
D000368:Aged; D015299:Discitis / Q000150:complications* / Q000382:microbiology / Q000628:therapy; D004927:Escherichia coli Infections / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae; D016659:Psoas Abscess / Q000150:complications* / Q000382:microbiology / Q000628:therapy
Absceso de psoas secundario a espondilodiscitis lumbar por gram negativos.