Pyogenic Psoas Abscess in a Patient With Chronic Low Back Pain: A Case Report

A psoas abscess, a rare and clinically significant entity, poses diagnostic challenges due to its nonspecific presentation and diverse etiologies. This case report explores a compelling instance of a 58-year-old male with type 2 diabetes mellitus and chronic low back pain diagnosed with a large pyog...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 15; no. 12; p. e50330
Main Authors Almana, Ohoud, Ben Yahia, Khawla, Aldhabab, Adnan, Aljohani, Rawan, Bilal, Ahmad
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 11.12.2023
Cureus
Subjects
Abdomen
Abscesses
Antibiotics
Back pain
Blood
Case reports
Clinical outcomes
Diabetes
Emergency Medicine
Etiology
Family/General Practice
General Surgery
Kidneys
Leukocytes
Medical diagnosis
Tomography
computed tomography
psoas abscess
diabetes mellitus
percutaneous abscess drainage
low back pain
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Summary:A psoas abscess, a rare and clinically significant entity, poses diagnostic challenges due to its nonspecific presentation and diverse etiologies. This case report explores a compelling instance of a 58-year-old male with type 2 diabetes mellitus and chronic low back pain diagnosed with a large pyogenic psoas abscess. The patient presented with worsening right-sided lower back pain, fever, and chills. Clinical examination revealed lumbar tenderness and limited spinal mobility. Laboratory results indicated elevated inflammatory markers. Computed tomography identified a large abscess involving the right iliopsoas. A working diagnosis of pyogenic psoas abscess was established, prompting surgical intervention. This case emphasizes the diagnostic complexity of a psoas abscess, particularly in individuals with predisposing factors. Successful management, involving advanced imaging, targeted antibiotics, and minimally invasive interventions, underscores the efficacy of a multidisciplinary approach. Heightened clinical suspicion, prompt diagnosis, and tailored interventions are crucial for navigating the complexities of this condition successfully.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.50330