[Crohn's disease complicating psoas abscess treated by drainage and infliximab administration].
A 19-year old man was admitted for treatment of a right psoas abscess. He was first diagnosed as Crohn's disease with ileocolitis and fistula, which caused the abscess. Following the drainage of the abscess and conservative treatment including administration of antibiotics, total parenteral nutrition and medication, his symptoms were temporarily improved. After recurrence, additional therapy with infliximab successfully induced remission. He has remained free from abdominal symptoms and recurrence of the abscess. It seems that conservative treatment including infliximab administration is useful for induction as well as maintenance of remission and avoiding surgical treatment.
Hachisu
Yoko
Y
Department of Medicine and Molecular Science, Graduate School of Medicine, Gunma University. hachisu@showa.gunma-u.ac.jp
Okamura
Shinichi
S
Tanaka
Hirohito
H
Tanaka
Yoshiki
Y
Morita
Kyoko
K
Kudo
Tomohiro
T
Iida
Tomohiro
T
Kawamura
Osamu
O
Kusano
Motoyasu
M
Mori
Masatomo
M
D000911:Antibodies, Monoclonal / Q000627:therapeutic use*; D003424:Crohn Disease / Q000150:complications* / Q000628:therapy; D004322:Drainage; D006801:Humans; D000069285:Infliximab; D008297:Male; D016659:Psoas Abscess / Q000209:etiology* / Q000628:therapy; D055815:Young Adult
D000911:Antibodies, Monoclonal; D000069285:Infliximab