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  • Title: [Psoas abscess secondary to lumbar spondylodiscitis caused by gram negative bacilli].
    Author: Ampudia-Blasco FJ, Fernandez J, Ferrer MD, Pallardo Y, Tenes S, Carmena R.
    Journal: An Med Interna; 1998 Aug; 15(8):436-8. PubMed ID: 9780427.
    Abstract:
    The association between psoas abscess and lumbar spondylodiscitis by Gram negative bacilli represents a rare clinical entity. Sometimes the absence of demonstrative symptoms complicates the diagnostic schema. We report about a 72 year-old woman, without previous known diabetes mellitus, who was admitted because of fever of one week duration and a non-ketotic hyperosmolar coma. A left psoas abscess was identified by abdominal computed tomography (CT). The abscess was in communication with the L1-L2 intervertebral space. Although Escherichia coli was identified as the causing agent and appropriate antibiotic therapy was administered, the resolution of the abscess occurred only after the implantation of a percutaneous catheter guided by CT without additional surgery. Percutaneous drainage as a diagnostic-therapeutic technique has rendered the surgery as the last resort in the treatment of psoas abscess.
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