Large Primary Tuberculous Psoas Abscess in an HIV Patient – A Case Report

Abstract

Tuberculosis (TB) remain as one of the leading opportunistic infection in patients with Human immunodefficiency virus (HIV) infection in developing countries. Here we report a case of huge primary psoas abscess of tubercular origin in an HIV patient who presented with hip pain and limping. Psoas sign was evident on examination and CT scan of abdomen revealed a large iliopsoas abscess extending from abdomen to upper part of thigh. Patient underwent percutaneous drainage of abscess and improved with anti-tuberculous drugs while continuing anti-retroviral therapy.

Multidrug-resistant tuberculosis (MDR-TB) and multidrug-resistant HIV (MDR-HIV) syndemic: challenges in resource limited setting

“…In this case report, our patient presented with an indolent fever, constitutional symptoms and low back pain, which was caused by a tuberculous psoas abscess. TB psoas abscess formation is not unusual among PLHIV 16 17. Its management involves aspiration of the abscess and starting appropriate anti-TB drugs.…”

Psoas abscess due to mycobacterium tuberculosis: a case report

“…Infections can enter into this muscle form its neighbouring structures like iliac lymph nodes, sigmoid colon and abdominal aorta. 5 Iliopsoas abscess, a collection of pus in the iliopsoas compartment, was first described by Mynter, who referred to it as psoitis. 6 Vertebral osteomyelitis and psoas abscess are inter-related infections and share the same risk factors.…”