Asian Spine J.  2008 Dec;2(2):102-105. 10.4184/asj.2008.2.2.102.

Multiple Pyogenic Spondylodiscitis with Bilateral Psoas Abscesses Accompanying Osteomyelitis of Lateral Malleolus: A Case Report

Affiliations
  • 1Department of Orthopedic Surgery, Cheju Halla General Hospital, Jeju, Korea. sskos@unitel.co.kr
  • 2Department of Radiology, Cheju Halla General Hospital, Jeju, Korea.

Abstract

A psoas abscess is a potentially life-threatening infection. Multiple pyogenic spondylodiscitis with bilateral psoas abscesses accompanying an osteomyelitis of the lateral malleolus is an extremely rare event. We present our experience with needle aspiration for the treatment of osteomyelitis of the lateral malleolus and CT-guided percutaneous catheter drainage for a psoas abscess in an elderly patient. Both infections were completely resolved without recurrence. A psoas abscess should be included in the differential diagnosis of a patient with low back pain during musculoskeletal infection. Percutaneous needle aspiration or CT-guided percutaneous catheter drainage is an effective method for treating certain musculoskeletal infections.

Keyword

Spondylodiscitis with psoas abscess; Osteomyelitis of lateral malleolus; CT-guided percutaneous drainage

MeSH Terms

Aged
Catheters
Diagnosis, Differential
Discitis
Drainage
Humans
Low Back Pain
Needles
Osteomyelitis
Psoas Abscess
Recurrence
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