title: Appendicular Sinus as a Cause of Chronic Psoas Abscess in a Renal Transplant Recipient: A Case Report.
abstract: A psoas abscess is a condition with vague symptomatology that is associated with potentially life-threatening suppurative myositis of the iliopsoas muscular compartment. Immunocompromised pa-tients run an increased risk of developing suppurative or chronic abscesses from acute foci. The presence of a solid-organ transplant, and the attendant need for immunosuppressant therapies and impaired renal provide additional factors that could contribute to the comorbidities of this condition. Here, we present a 61-year-old white man with a functioning renal transplant who developed a chronic psoas abscess associated with an appendicular sinus that required serial computed tomographic-guided drainages during 8 years. We highlight the difficulties and limitations of managing a psoas abscess. We conclude that a conservative approach toward managing a chronic psoas abscess may be associated with good long-term patient and graft functions, with minimal risk to the patient.
authors.affiliation: From the Department of Renal Medicine and Transplant Surgery, St Georges Healthcare NHS Trust, London, United Kingdom.
authors.forename: Abbas
authors.initials: A
authors.lastname: Ghazanfar
authors.forename: Yahya
authors.initials: Y
authors.lastname: Khan
authors.forename: Joyce
authors.initials: J
authors.lastname: Popoola
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001062:Appendectomy; D001064:Appendicitis / Q000000981:diagnostic imaging / Q000276:immunology / Q000382:microbiology* / Q000628:therapy; D002908:Chronic Disease; D004322:Drainage; D006801:Humans; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000009:adverse effects*; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D016659:Psoas Abscess / Q000000981:diagnostic imaging / Q000276:immunology / Q000382:microbiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography
chemical_list: D000900:Anti-Bacterial Agents; D007166:Immunosuppressive Agents