Pott's Spine with Bilateral Psoas Abscesses

Abstract

A high degree of suspicion and appropriate imaging studies are required for the early diagnosis of Pott's spine. We describe a 4-year-old boy with Pott's disease of the lumbar spine with bilateral psoas abscesses. The child responded to conservative treatment with antituberculous treatment and ultrasonographically guided percutaneous drainage of the abscesses.

Submuscular gluteal abcess: An unusual presentation of rare sacral tuberculosis

“…Percutaneous drainage of the abscess is usually recommended in most spine tubercular abscess without any indication for spinal stabilization [ 2 , 16 ]. Open debridement and biopsy are warranted in several cases, where the diagnosis is still unclear thus adequate tissue sample has to be obtained.…”

“…Around 1–2% of tuberculosis patients have involvement of the skeletal system and 50% of them involve the spinal column [ 1 ]. Most spinal involvement of tuberculosis occurs in lumbar spine region and some of those are also presented with psoas abcess [ 1 , 2 ].…”