Korean J Nephrol.
2004 Jan;23(1):180-184.
A Case of Primary Iliopsoas Abscess Presented as Femoral Neuropathy in a Hemodialysis Patient
- Affiliations
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- 1Department of Internal Medicine, Konkuk University College of Medicine, Seoul, Korea. joyoung@konkuk.ac.kr
- 2Department of Rehabilitation Medicine, Konkuk University College of Medicine, Seoul, Korea.
- 3Department of General Surgery, Konkuk University College of Medicine, Seoul, Korea.
- 4Department of Radiology, Konkuk University College of Medicine, Seoul, Korea.
Abstract
- Primary iliopsoas abscess is a rare but potentially serious condition. The diagnosis is frequently delayed due to its variable and nonspecific features and occult clinical course. The delayed diagnosis and treatment of iliopsoas abscess is the major poor prognostic factor. We report a rare case of primary iliopsoas abscess that presented as a femoral neuropathy in a patient on hemodialysis. A 49-year-old man with end stage renal disease was admitted due to pain in the left inguinal area, and weakness and hypoesthesia of left lower leg. Left iliopsoas abscess was confirmed by CT and MRI. Left femoral neuropathy was diagnosed with electrodiagnostic study. Iliopsoas abscess with femoral neuropathy was completely treated with CT-guided aspiration, antibiotics and prolonged physical therapy of hip and knee joints. To our knowledge, this is the first case report of primary iliopsoas abscess presented as a femoral neuropathy in a patient on hemodialysis in Korea.
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