Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Tuberculous Psoas Abscess Caused by Tuberculous Lymphadenopathy

결핵성 림프절염에 이차적으로 발생한 결핵성 요근 농양 1예

  • Park, Mi Youn (Department of Internal Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Park, Jin Young (Department of Internal Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Yu, Ji Youn (Department of Internal Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Seung Su (Department of Internal Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Myung Sook (Department of Internal Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Ji Chang (Department of Radiology, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Ahn, Chang Joon (Department of Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
  • 박미연 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 박진영 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 유지연 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 김승수 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 김명숙 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 김지창 (가톨릭대학교 의과대학 대전성모병원 영상의학교실) ;
  • 안창준 (가톨릭대학교 의과대학 대전성모병원 외과학교실)
  • Received : 2008.08.29
  • Accepted : 2008.10.07
  • Published : 2008.12.30
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Abstract

A tuberculous psoas abscess is a frequently described complication of tuberculous spondylitis. Although rare, a tuberculous psoas abscess can develop without any demonstrable spinal involvement. In patients with no evidence of sponylitis, the abscess may result from direct spread from the involved lymph node or via a hematogeous route. The treatment of a psoas abscess is either drug therapy or surgical intervention in conjunction with drug therapy. Image-guided percutaneous drainage in conjunction with drug therapy is also a safe and effective treatment for a tuberculous psoas abscess. We report an unusual case of bilateral tuberculous psoas abscesses without any concomitant spinal involvement. The tuberculous psoas abscess may have formed by fistulization between the necrotic lymph node and psoas sheath. The diagnosis was confirmed by computed tomography and a histology examination of the biopsy sample. The patient improved after administering anti-tuberculous agents for 2 years along with surgical and percutaneous drainage of the abscess.

저자들은 항결핵 치료 6개월 후 척추 결핵의 동반없는, 결핵성 림프절염에 의해 이차적으로 발생한 양측성 다발성 결핵성 요근 농양 환자 1예를 경험하였다. 환자는 한차례의 수술적 절개 및 배액술 그리고 여섯 차례의 경피적배액술과 2년간의 약물치료를 통해 완치되었고 이후 재발은 없어 이에 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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