title: [Diagnosis and treatment of Tuberculous primary psoas abscess].
abstract: Objective:To retrospective analysis the clinical characteristics of diagnosis and treatment the disease of tuberculous psoas abscess (TPA).Method:The medical records of 13 consecutive patients presenting to our hospital with TPA were reviewed from November 2002 to December 2015.Demographic data, presenting features, predisposing factors and the investigations performed were recorded and the outcomes were analysed.Results:The thirteen patients were included, 11 cases all had lower backache, 6 cases had Lower abdomen or groin area pain, 2 cases had fever, eleven cases were treated with Open drainage, one with Ultrasound guided drainage, and the last case used antibiotics alone, median hospital stay of 35 days, follow-up showed no recurrence or death in patients.Conclusion:The incidence of TPA is probably underreported.The vague presentation leads to delays in diagnosis and increases morbidity and a high index of suspicion is the key to early diagnosis.Open drainage has Lower recurrence and death rates, and used widely, is the most reliable method for the treatment of primary tuberculous psoas abscess.
authors.affiliation: Department of Spine Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urmuqi 830054, China.
authors.forename: Maimaiti
authors.initials: M
authors.lastname: Fulati
authors.forename: T
authors.initials: T
authors.lastname: Xu
authors.forename: Niyazi
authors.initials: N
authors.lastname: Maimaitiaili
authors.forename: Maimaiti
authors.initials: M
authors.lastname: Maierdan
authors.forename: H L
authors.initials: HL
authors.lastname: Guo
authors.forename: C H
authors.initials: CH
authors.lastname: Xun
authors.forename: B C
authors.initials: BC
authors.lastname: Wang
authors.forename: W B
authors.initials: WB
authors.lastname: Sheng
mesh_terms: D000900:Anti-Bacterial Agents; D004322:Drainage; D005334:Fever; D006801:Humans; D015994:Incidence; D007902:Length of Stay; D017116:Low Back Pain; D016659:Psoas Abscess; D012008:Recurrence; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014376:Tuberculosis; D014463:Ultrasonography
chemical_list: D000900:Anti-Bacterial Agents