Yonsei Med J.  2010 May;51(3):472-474. 10.3349/ymj.2010.51.3.472.

Psoas Abscess Caused by Non-Typhoid Salmonella in a Patient with Severe Aplastic Anemia

Affiliations
  • 1Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. wchou@ntu.edu.tw
  • 2Department of Internal Medicine, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan.

Abstract

The clinical spectrum of infections caused by non-typhoid Salmonella spp. includes gastroenteritis, enteric fever, bacteremia, and extraintestinal localized complications, especially in immunocompromised hosts. Here we report a patient with severe aplastic anemia developing left iliopsoas abscess caused by non-typhoid Salmonella (NTS), which was successfully treated by prolonged antibiotic treatment and repeated debridement. Our data indicate that aplastic anemia is a risk factor for infection caused by NTS.

Keyword

Non-typhoid Salmonella; aplastic anemia

MeSH Terms

Anemia, Aplastic/*complications/microbiology
Humans
Male
Middle Aged
Psoas Abscess/*etiology/*microbiology
Salmonella Infections/*complications

Figure

  • Fig. 1 The non-contrast pelvic computed tomography revealed a hypodense lesion within the left psoas-iliacus muscle of 2.5 × 2 cm (arrows).

  • Fig. 2 The summarized therapeutic course. D, debridement; Asp, aspiration via CT-guided percutaneous catheter drainage; NTS, non-typhoid Selmonella; G-CSF, granulocyte-colony stimulating factor; CRP, C-reactive protein.


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