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Case Reports
Pott's disease with extensive bilateral psoas abscesses in a Nigerian woman: an unusual case.
- Nneka I Iloanusi, Uche S Unigwe, Enoch O Uche, Michael O Iroezindu, and Okechukwu C Okafor.
- Department of Radiation Medicine, Faculty of Medical Sciences, University of Nigeria, Ituku/Ozalla Campus, Enugu, Nigeria.
- Malawi Med J. 2020 Sep 1; 32 (3): 168-172.
AbstractBilateral psoas abscesses are uncommon in Pott's disease. We describe a 28-year-old Nigerian woman with a 2-year history of constitutional symptoms and a 1-year history of bilateral paravertebral masses. She had received anti-tuberculosis (TB) treatment in an interrupted manner. A computed tomography (CT) scan revealed T10-T12 spondylitis, wedge collapse and extensive bilateral psoas abscesses. Histology of the abscess wall was definitively diagnosed as soft tissue TB, and special staining for acid-fast bacilli was positive. She was successfully treated with anti-TB therapy and ultrasound-guided surgical drainage of 6 L of abscess fluid. Complicated cases of Pott's disease may require multi-disciplinary interventions for optimal outcome.© 2020 The College of Medicine and the Medical Association of Malawi.
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