Iliopsoas gravity abscess secondary to a tuberculous empyema

• Main Authors: Kazuya Tone, Yuta Hirano, Kazuyoshi Kuwano
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2021-01-01
• Series: International Journal of Mycobacteriology
• Subjects: gravity abscess; iliopsoas abscess; tuberculosis; tuberculous empyema
• Online Access: http://www.ijmyco.org/article.asp?issn=2212-5531;year=2021;volume=10;issue=3;spage=335;epage=337;aulast=Tone

A 29-year-old Japanese man with a history of right-sided tuberculous pleurisy presented with fever and right flank pain. Computed tomography images revealed a right pleural effusion and an area of low attenuation in the right iliopsoas muscle. Percutaneous drainage of the iliopsoas lesion resulted in a bloody pyogenic discharge that tested positive for Mycobacterium tuberculosis by both acid-fast staining and polymerase chain reaction. Enhanced fluoroscopy revealed a perforation of the diaphragm between the thoracic region and the psoas muscle. The patient was diagnosed with an iliopsoas abscess secondary to tuberculous empyema.