Journal List > J Korean Assoc Pediatr Surg > v.19(2) > 1015925

TOOLS
Jung, Park, and Choi: Tuberculous Iliopsoas Muscle Abscess Associated with Multiple Intraabdominal and Thoracic Abscesses in 9-year-old Boy
Case Report

Journal of the Korean Association of Pediatric Surgeons 2013; 19(2): 150-155.

Published online: 24 December 2013

DOI: https://doi.org/10.13029/jkaps.2013.19.2.150

Tuberculous Iliopsoas Muscle Abscess Associated with Multiple Intraabdominal and Thoracic Abscesses in 9-year-old Boy

Eunyoung Jung, M.D., Woo-Hyun Park, M.D., Soon-Ok Choi, M.D.

Department of Pediatric Surgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.

Correspondence: Soon-Ok Choi, M.D., Department of Pediatric Surgery, Dongsan Medical Center, Keimyung University School of Medicine, 56 Dalsung-ro, Jung-gu, Daegu 700-712, Korea. Tel: 053)250-7323, Fax: 053)250-7322, choi1635@dsmc.or.kr

Received 28 August 2013       Accepted 29 November 2013

Copyright © 2013 Korean Association of Pediatric Surgeons

Abstract

Tuberculous Iliopsoas muscle abscess is a rare manifestation in patient with extrapulmonary tuberculosis and hardly observed in developed country. Paradoxical response to anti-tuberculous medication could make difficult therapeutic decision to clinicians. The authors report a case of tuberculous iliopsoas muscle abscess with multiple intraabdominal and thoracic abscesses in 9 year-old-boy who presented paradoxical response to anti-tuberculous treatment.

Keywords: Tuberculosis, Abscess, Psoas abscess, Paradoxical response

Figures and Tables

Fig. 1
(A). A cross sectional view of the abdominal CT with contrast shows huge iliopsoas abscess (27 × 7.6 × 9.5 cm) with well enhancing rim on the right side of the abdomen. (B). In an axial view, variable sized multiple intraabdominal abscesses were also seen under the subcapsular area of the liver and left subphrenic area.
jkaps-19-150-g001
Fig. 2
(A). A cross sectional view of the abdominal CT with contrast shows 16 × 4.6 cm sized iliopsoas abscess with enhancing rim on the right side of the abdomen. (B). In an axial view, increased sized multiple intraabdominal abscesses were seen under the subcapsular area of the liver and left subphrenic area.
jkaps-19-150-g002

References

1. Mynter H. Acute psoitis. Buffalo Med Surg J. 1881; 21:202–210.
2. Navarro López V, Ramos JM, Meseguer V, Perez Arellano JL, Serrano R, Garcia Ordonez MA, et al. Microbiology and outcome of iliopsoas abscess in 124 patients. Medicine (Baltimore). 2009; 88:120–130.
3. Shields D, Robinson P, Crowley TP. Iliopsoas abscess-a review and update on the literature. Int J Surg. 2012; 10:466–469.
4. Dahniya MH, Hanna RM, Grexa E, Cherian MJ, Niazy MN, Badr S, et al. Percutaneous drainage of tuberculous iliopsoas abscesses under image guidance. Australas Radiol. 1999; 43:444–447.
5. Dinç H, Ahmetoglu A, Baykal S, Sari A, Sayil O, Gumele HR. Image-guided percutaneous drainage of tuberculous iliopsoas and spondylodiskitic abscesses: midterm results. Radiology. 2002; 225:353–358.
6. Cheng VC, Ho PL, Lee RA, Chan KS, Chan KK, Woo PC, et al. Clinical spectrum of paradoxical deterioration during antituberculosis therapy in non-HIV-infected patients. Eur J Clin Microbiol Infect Dis. 2002; 21:803–809.
7. Narita M, Ashkin D, Hollender ES, Pitchenik AE. Paradoxical worsening of tuberculosis following antiretroviral therapy in patients with AIDS. Am J Respir Crit Care Med. 1998; 158:157–161.
8. Cho OH, Park KH, Kim T, Song EH, Jang EY, Lee EJ, et al. Paradoxical responses in non-HIV-infected patients with peripheral lymph node tuberculosis. J Infect. 2009; 59:56–61.
9. Jung JW, Shin JW, Kim JY, Park IW, Choi BW, Seo JS, et al. Risk factors for development of paradoxical response during anti-tuberculosis treatment in HIV-negative patients with pleural tuberculosis. Tohoku J Exp Med. 2011; 223:199–204.
TOOLS
Similar articles