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Psoas abscess with osteomyelitis in a patient undergoing long-term hemodialysis.

作者信息

Kato A, Takahashi T, Watanabe T, Furuhashi M, Maruyama Y, Hishida A

机构信息

First Department of Medicine, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu 431-3192, Japan.

出版信息

Am J Nephrol. 2001 Sep-Oct;21(5):410-2. doi: 10.1159/000046285.

Abstract

We describe a 69-year-old male patient on maintenance hemodialysis for 24 years who developed a fatal left psoas abscess with osteomyelitis at the hip joint following acute enterocolitis. He had systemic beta(2)-microglobulin amyloid deposition in colon epithelium and psoas muscle. Cultures from abscess fluid and femoral bone marrow yielded Bacteroides fragilis. To our knowledge, this is the first case on hemodialysis having a psoas abscess following acute gastrointestinal infection. This rare case suggested that a secondary psoas abscess could be one of the occult infections in patients undergoing long-term maintenance hemodialysis.

摘要

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