Psoas Abscess with Pott’s Spine: A Case Report

Abstract

Psoas abscess is the accumulation of fluid around the iliopsoas muscle. Pott’s spine also called spinal tuberculosis occurs due to extra pulmonary tuberculosis. Common clinical manifestations include high grade fever, back pain, weight loss and lump in groin. Condition can be treated by anti-tubercular therapy and sensitive anti-microbials with analgesics for symptomatic relief. Drainage and surgical procedures can be carried out to remove the accumulated fluid based on inter individual severity. In this case study, we report a rare case of psoas abscess with Pott’s spine. A 28-year female presented with complaints of lump pain in groin, abdominal pain, flank pain, fever and weight loss. Medical history showed untreated tuberculosis since 5–6 months. MRI pelvis showed right psoas abscess measuring approximately 7 cm × 6.5 cm × 14 cm while MRI Dorso-lumbar spine showed Pott’s spine. The drainage clearance procedure was performed, and patient was prescribed with anti-tuberculous and anti-microbial drugs during hospitalization. On discharge, patient’s condition was improved. The condition is rare. Pott’s spine, if not diagnosed early, may delay the prognosis and cause psoas abscess, so it must be treated in time to reduce morbidity and mortality. Follow-up is essential to prevent the relapse of extra-pulmonary tuberculosis.