Korean J Pain.  2006 Dec;19(2):278-281. 10.3344/kjp.2006.19.2.278.

Iliopsoas Pyomyositis Overlaping the Herniated Intervertebral Lumbar Disc Symptom: A case report

• Lee EK
• Son YS
• Joe HS
• Kang JK
• Kim DY
• Lee SM

• KMID: 2073947
• DOI: http://doi.org/10.3344/kjp.2006.19.2.278

Abstract

The diagnosis of pyomyositis in the pelvic region is difficult, as its incidence is relatively, with symptoms that mimic those of discogenic pain. Sciatica is a common presentation of a prolapsed lumbar disc. Less common causes, such as spinal stenosis, pelvic tumors or even primary nerve tumors can also cause these symptoms. Magnetic resonance imaging (MRI) is a useful diagnostic tool. Herein, the case of a patient with an acute pyogenic infection in the iliopsoas muscle, presenting with sciatica, is reported. This is a rare infective disease, which if promptly treated with intravenous antibiotics, can be completely resolved; otherwise, it can result in deep abscess formation, sepsis and death.

Keyword

herniated intervertebral disc; iliopsoas pyomyositis

MeSH Terms

Abscess
Anti-Bacterial Agents
Diagnosis
Humans
Incidence
Magnetic Resonance Imaging
Pelvis
Pyomyositis*
Sciatica
Sepsis
Spinal Stenosis
Anti-Bacterial Agents