Korean J Med.
2009 Aug;77(Suppl 1):S230-S235.
A case of Klebsiella psoas abscess due to diverticulitis and intestinal tuberculosis
- Affiliations
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- 1Department of Internal Medicine, Daegu Fatima Hospital, Daegu, Korea. ktkwon@fatima.or.kr
- 2Department of Pathology, Daegu Fatima Hospital, Daegu, Korea.
- 3Department of Diagnostic Radiology, Daegu Fatima Hospital, Daegu, Korea.
- 4Department of Surgery, Daegu Fatima Hospital, Daegu, Korea.
Abstract
- A 38-year-old male-to-female transgender patient who had undergone a transsexual operation 20 years earlier presented with right flank pain and chills. Abdominal CT scan and gastrografin colon enema revealed a right psoas abscess and an abnormal communication between the large bowel and this psoas abscess. She underwent a right hemicolectomy and was finally diagnosed as having a Klebsiella psoas abscess due to perforated diverticulitis and intestinal tuberculosis. Additional antibiotics and antituberculous medication were required. A secondary psoas abscess due to diverticulitis is rare, and to our knowledge, no case combined with intestinal tuberculosis has previously been reported. We present the case with a brief review of related reports.
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