SpringerLink
Log in

Psoas Abscess with Pott’s Spine: A Case Report

  • Case Report
  • Published:
SN Comprehensive Clinical Medicine Aims and scope Submit manuscript

Abstract

Psoas abscess is the accumulation of fluid around the iliopsoas muscle. Pott’s spine also called spinal tuberculosis occurs due to extra pulmonary tuberculosis. Common clinical manifestations include high grade fever, back pain, weight loss and lump in groin. Condition can be treated by anti-tubercular therapy and sensitive anti-microbials with analgesics for symptomatic relief. Drainage and surgical procedures can be carried out to remove the accumulated fluid based on inter individual severity. In this case study, we report a rare case of psoas abscess with Pott’s spine. A 28-year female presented with complaints of lump pain in groin, abdominal pain, flank pain, fever and weight loss. Medical history showed untreated tuberculosis since 5–6 months. MRI pelvis showed right psoas abscess measuring approximately 7 cm × 6.5 cm × 14 cm while MRI Dorso-lumbar spine showed Pott’s spine. The drainage clearance procedure was performed, and patient was prescribed with anti-tuberculous and anti-microbial drugs during hospitalization. On discharge, patient’s condition was improved. The condition is rare. Pott’s spine, if not diagnosed early, may delay the prognosis and cause psoas abscess, so it must be treated in time to reduce morbidity and mortality. Follow-up is essential to prevent the relapse of extra-pulmonary tuberculosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (Germany)

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

Data Availability

Not applicable.

Code Availability

Not applicable.

Abbreviations

PA:

Psoas abscess

ESR:

Erythrocyte sedimentation rate

RBS:

Random blood sugar

MRI:

Magnetic resonance imaging

USG:

Ultrasonography

IV:

Intravenous

PO:

Per oral

AKT:

Combination of isoniazid, ethambutol, pyrazinamide, rifampin

AIDS:

Acquired immunodeficiency deficiency syndrome

CT:

Computed tomography

AFB:

Acid-fast bacilli

OIF:

Oil immersion field

References

  1. Coşarderelioğlu Ç, Bahşi R, Öztorun HS, Atmış V, Yalçın A, Aras S, Varlı M. An atypical case of psoas abscess in an elderly patient. Eur J Geriatr Gerontol. 2019;1(1):40–2.

    Article  Google Scholar 

  2. Ansari S, Amanullah MF, Ahmad K, Rauniyar RK. Pott’s spine: diagnostic imaging modalities and technology advancements. N Am J Med Sci. 2013;5(7):404–11. https://doi.org/10.4103/1947-2714.115775.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Sato T, Kudo D, Kushimoto S. Epidemiological features and outcomes of patients with psoas abscess: a retrospective cohort study. Ann Med Surg. 2021;62:114–8. https://doi.org/10.1016/j.amsu.2021.01.040.

    Article  Google Scholar 

  4. Guedes Saint Clair JP, CordeiroRabelo ÍE, Rios Rodriguez JE, Lopes de Castro G, Moreira Printes TR, Cabral FraijiSposina LB, et al. Pott’s disease associated with psoas abscess: case report. Ann Med Surg [Internet]. 2022;74:103239.

    Google Scholar 

  5. Akhaddar A, Hall W, Ramraoui M, Nabil M, Elkhader A. Primary tuberculous psoas abscess as a postpartum complication: case report and literature review. Surg Neurol Int. 2018;9:239.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Deasy WF. Pott’s disease with extensive cold abscess in the abdominal cavity which was misinterpreted as malignancy. Radiol Case Rep. 2022;17(5):1502–5. https://doi.org/10.1016/j.radcr.2022.01.070.

    Article  Google Scholar 

  7. Rivas-Garcia A, Sarria-Estrada S, Torrents-Odin C, Casas-Gomila L, Franquet E. Imaging findings of Pott’s disease. Eur Spine J. 2012;22(S4):567–78. https://doi.org/10.1007/s00586-012-2333-9.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Pharmacy Practice, Parul Institute of Pharmacy, Parul University, Vadodara, Gujarat, India

    Evangeline Gladwin, Rudra Patel & Vaishnavi Patel

  2. Department of Clinical Pharmacy, Parul Sevashram Hospital, Vadodara, Gujarat, India

    Mrudangsinh Rathod

Authors
  1. Evangeline Gladwin
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Rudra Patel
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Vaishnavi Patel
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mrudangsinh Rathod
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by EG, RP and VP. The first draft of the manuscript was written by EG, RP and VP, and all authors commented on previous versions of the manuscript. MR critically revised the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Evangeline Gladwin.

Ethics declarations

Ethics Approval

The case study is waived off for approval.

Consent to Participate

Not applicable.

Consent for Publication

Written informed consent was obtained from the individual(s) for the publication of any potentially identifiable images or data included in this article.

Conflict of Interest

The authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gladwin, E., Patel, R., Patel, V. et al. Psoas Abscess with Pott’s Spine: A Case Report. SN Compr. Clin. Med. 6, 75 (2024). https://doi.org/10.1007/s42399-024-01706-1

Download citation

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s42399-024-01706-1

Keywords

Search

Navigation