REPORT
Nobel Med 2009; 5(2): 68-71

PULMONARY TUBERCULOSIS WITH NON-SPECIFIC PSOAS ABSCESS

Avni Kaya, Baran Serdar Kızılyıldız, Kamuran Karaman, M. Selçuk Bektaş, Fesih Aktar, Hüseyin Çaksen
ABSTRACT
Psoas abscess is a rare disease in childhood. Usually its diagnosis is diffucult and so delayed. A five-year-old girl was admitted with high fever, sweating, swelling and pain on right thigh and abdominal pain for one week. On family history there was no contact with any known tuberculosis case. She had two siblings who had died due to diarrhea and pneumonia. At physical examination, the right leg was tender with movements and in flexion posture. There was also defence and rebaund on abdomen. Ultrasonography revealed a mass lesion at 39x17 mm diameters with heterogenous echo next to the psoas muscle. In laparotomy, the abcess has been drained and Staphylococcus aureus isolated in routine culture. Acid-fast staining and culture for mycobacterium was negative. Despite of appropriate antibiotic treatment, she had fever on the tenth hospital day so we presumed a tuberculosis infection. Serum adenozine deaminase level was high (45 IU/L ) and thorax high resolution computed tomography demonstrated multiple changes consisted with pulmonary tuberculosis.Antituberculosis treatment was started. We conclude that psoas abcess was secondary to pulmonary tuberculosis. The patient has been well on follow-up after four months of treatment.
Keywords
Psoas abscess Pulmonary tuberculosis Staphylococcus aureus

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  • Pubmed Style
    Avni Kaya, Baran Serdar Kızılyıldız, Kamuran Karaman, M. Selçuk Bektaş, Fesih Aktar, Hüseyin Çaksen. [AKCİĞER TÜBERKÜLOZU İLE BİRLİKTE TÜBERKÜLOZA BAĞLI OLMAYAN PSOAS APSESİ]. Nobel Med 2009; 5(2): 68-71, Turkish.
  • Web Style
    Avni Kaya, Baran Serdar Kızılyıldız, Kamuran Karaman, M. Selçuk Bektaş, Fesih Aktar, Hüseyin Çaksen. [AKCİĞER TÜBERKÜLOZU İLE BİRLİKTE TÜBERKÜLOZA BAĞLI OLMAYAN PSOAS APSESİ]. www.nobelmedicus.com/en/Article.aspx?m=1716 [Access: Mayıs 24, 2021], Turkish.
  • AMA (American Medical Association) Style
    Avni Kaya, Baran Serdar Kızılyıldız, Kamuran Karaman, M. Selçuk Bektaş, Fesih Aktar, Hüseyin Çaksen. [AKCİĞER TÜBERKÜLOZU İLE BİRLİKTE TÜBERKÜLOZA BAĞLI OLMAYAN PSOAS APSESİ]. Nobel Med 2009; 5(2): 68-71, Turkish.
  • Vancouver/ICMJE Style
    Avni Kaya, Baran Serdar Kızılyıldız, Kamuran Karaman, M. Selçuk Bektaş, Fesih Aktar, Hüseyin Çaksen. [AKCİĞER TÜBERKÜLOZU İLE BİRLİKTE TÜBERKÜLOZA BAĞLI OLMAYAN PSOAS APSESİ]. Nobel Med (2009); 5(2): 68-71, [cited Mayıs 24, 2021], Turkish.
  • Harvard Style
    Avni Kaya, Baran Serdar Kızılyıldız, Kamuran Karaman, M. Selçuk Bektaş, Fesih Aktar, Hüseyin Çaksen. (2009) [AKCİĞER TÜBERKÜLOZU İLE BİRLİKTE TÜBERKÜLOZA BAĞLI OLMAYAN PSOAS APSESİ]. Nobel Med, 5(2): 68-71, Turkish.