Asnani M, Williams E W, Cawich S, Reid M, Mansingh A, Shah S, Williams-Johnson Jean
TMRI, Sickle Cell Unit, University of the West Indies, Kingston, Jamaica.
BMJ Case Rep. 2010 Sep 20;2010:bcr0120102642. doi: 10.1136/bcr.01.2010.2642.
The authors present a case of a patient with sickle-β thalassaemia (Sβ(0) Thal) who had bilateral psoas abscesses on a background of splenectomy in early childhood. The patient also turned out to have vertebral osteomyelitis and hydronephrosis on the side of the larger abscess. The only organism recovered from the patient was a Bacteroides species. The patient was managed with percutaneous drainage and intravenous antibiotics and made a full recovery.
作者报告了一例镰状-β地中海贫血(Sβ(0) 地中海贫血)患者的病例,该患者在幼儿期脾切除术后出现双侧腰大肌脓肿。该患者还被发现患有椎体骨髓炎以及较大脓肿一侧的肾盂积水。从患者身上分离出的唯一病原体是一种拟杆菌属细菌。该患者接受了经皮引流和静脉抗生素治疗,并完全康复。