Department of Radiation Medicine, Faculty of Medical Sciences, University of Nigeria, Ituku/Ozalla Campus, Enugu, Nigeria.
Department of Medicine, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria.
Malawi Med J. 2020 Sep;32(3):168-172. doi: 10.4314/mmj.v32i3.10.
Bilateral psoas abscesses are uncommon in Pott's disease. We describe a 28-year-old Nigerian woman with a 2-year history of constitutional symptoms and a 1-year history of bilateral paravertebral masses. She had received anti-tuberculosis (TB) treatment in an interrupted manner. A computed tomography (CT) scan revealed T10-T12 spondylitis, wedge collapse and extensive bilateral psoas abscesses. Histology of the abscess wall was definitively diagnosed as soft tissue TB, and special staining for acid-fast bacilli was positive. She was successfully treated with anti-TB therapy and ultrasound-guided surgical drainage of 6 L of abscess fluid. Complicated cases of Pott's disease may require multi-disciplinary interventions for optimal outcome.
双侧腰大肌脓肿在波特氏病中并不常见。我们描述了一位 28 岁的尼日利亚女性，她有 2 年的全身症状史和 1 年的双侧椎旁肿块史。她曾间断接受过抗结核（TB）治疗。计算机断层扫描（CT）显示 T10-T12 脊柱炎、楔形塌陷和广泛的双侧腰大肌脓肿。脓肿壁的组织学明确诊断为软组织结核，抗酸杆菌特殊染色阳性。她成功地接受了抗结核治疗和超声引导下的 6 升脓肿液引流手术。复杂的波特氏病病例可能需要多学科干预以获得最佳结果。
