title: Two cases of pott disease associated with bilateral psoas abscesses: case report.
abstract: METHODS
  Two case reports and a literature review of spinal osteomyelitis with bilateral psoas abscesses secondary to Mycobacterium tuberculosis.
  
  
  OBJECTIVE
  Describe the presentation, diagnosis, treatment, and outcome of spinal tuberculosis (i.e., Pott disease).
  
  
  BACKGROUND
  Pott disease is a well-known condition in unindustrialized countries causing multiple spinal deformities in children. However, its association with bilateral psoas abscesses in adults with minimal risk factors is not commonly recognized in industrialized countries.
  
  
  METHODS
  There are 2 adult cases of Pott disease with psoas abscesses presented, and the relevant literature is reviewed. Plain spine radiographs, spine magnetic resonance imaging (MRI), routine bacterial and acid-fast bacilli cultures of infected material, and other diagnostic testing for M. tuberculosis were performed.
  
  
  RESULTS
  Plain radiographs and MRI of the spine showed vertebral osteomyelitis with compression fractures, and MRI also revealed bilateral psoas abscesses. Acid-fast bacilli culture and other M. tuberculosis diagnostic testing of psoas abscess specimens confirmed the diagnosis of M. tuberculosis.
  
  
  CONCLUSIONS
  Although spinal osteomyelitis with psoas abscess is classically associated with Staphylococcus aureus infection, Pott disease should be considered in this clinical setting, and risk factor assessment and testing for tuberculosis should be performed.
authors.affiliation: Department of Neurology, University of Alabama at Birmingham, Birmingham, AL 35294-0007, USA.
authors.forename: Rhodemarie
authors.initials: R
authors.lastname: Maron
authors.forename: Deborah
authors.initials: D
authors.lastname: Levine
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Dobbs
authors.forename: William M
authors.initials: WM
authors.lastname: Geisler
mesh_terms: D000369:Aged, 80 and over; D000995:Antitubercular Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006801:Humans; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D016659:Psoas Abscess / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D011859:Radiography; D013131:Spine / Q000000981:diagnostic imaging / Q000473:pathology; D013904:Thoracic Vertebrae; D014399:Tuberculosis, Spinal / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents