Introduction:

We present de case of a 29 year old male patient with bilateral psoas abscess secondary to vertebral tuberculosis. Psoas abscess is not usually frequent in patient with extra-pulmonary tuberculosis and specially Pott’s disease, but when it appears it is usually under diagnosed due to non-specificic clinical manifestations.

Objectives:

Clinical-surgical approach to psoas abscess secondary to vertebral tuberculosis, or Pott’s disease.

Materials and methods:

Bibliographic search carried out in pubmed. Case report: clinical and photographic record, evolution and presentations of laboratory results, diagnostic auxiliary methods and treatment.

Results:

Symptoms presented by a 29 years old patient: abdominal pain, lower limb pain, low back pai, bloody expectoration, difficulty walking and previous respiratory and constitutional symptoms sucha as weight loss, anorexia, asthenia. Based on the clinicalhistory, physical examination and findins in specific tests, the diagnosis of psoas abscess secondary to vertebral tuberculosis could be achieved. The pharmacological treatment followed was the one proposed by WHO for tuberculosis, plus the drainage and culture of the abscess, with a multipurpose catheter. The patient had a favorable evolution and after the neurosurgical intervetntion he was discharged.

Conclusion:

The patient evolved favorably, and the measures applied in the development of his disease were appropriate.

        · resumen en Español     · texto en Español     · Español ( pdf )