EJMCR |

Case Report

Volume: 5 | Issue: 8 | Published: Aug 12, 2021 | Pages: 249 - 252 | DOI: 10.24911/ejmcr/173-1621275510

Spondylodiscitis with a psoas abscess - not a case of tuberculosis

Authors: Kaustabh Sen , Krithi Krishna Koduri , Ashirwad Pasumarthy , Hardik Rughwani , Duvvur Nageshwar Reddy

Article Info

Authors

Kaustabh Sen

Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India

Krithi Krishna Koduri

Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India

ORCID

Ashirwad Pasumarthy

Department of Radiology, Asian Institute of Gastroenterology, Hyderabad, India

Hardik Rughwani

Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India

Duvvur Nageshwar Reddy

Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.

Publication History

Received: May 17, 2021

Revised: June 22, 2021

Accepted: July 18, 2021

Published: August 12, 2021

Abstract

Background: Brucellosis is a zoonotic infection, commonly presenting with osteoarticular involvement. Spinal brucellosis occurs in up to 65% of affected cases, but the occurrence of a psoas abscess is rare, and may mislead the clinician to an alternative diagnosis such as tuberculosis (TB). Case Presentation: Our patient presented with history of fever and lower backache. On evaluation, he was found to have L1-L2 spondylodiscitis with an associated large left psoas abscess. Given the endemicity of TB in India, it was the first considered differential diagnosis. The abscess fluid culture, however, grew Brucella melitensis. On carefully reviewing his history, it was found that the patient had contact with goats as a part of his occupation, explaining the source of the Brucella infection. Conclusion: Brucellosis must be kept in mind as a differential diagnosis for spondylodiscitis even in the occurrence of psoas abscess, a rarity, as seen in this case - in the background of relevant contact history and endemicity.

Keywords: Spinal brucellosis, spondylodiscitis, psoas abscess, tuberculosis, case report, green

Pubmed Style

Kaustabh Sen, Krithi Krishna Koduri, Ashirwad Pasumarthy, Hardik Rughwani, Duvvur Nageshwar Reddy. Spondylodiscitis with a psoas abscess - not a case of tuberculosis. EJMCR. 2021; 12 (August 2021): 249-252. doi:10.24911/ejmcr/173-1621275510

Web Style

Kaustabh Sen, Krithi Krishna Koduri, Ashirwad Pasumarthy, Hardik Rughwani, Duvvur Nageshwar Reddy. Spondylodiscitis with a psoas abscess - not a case of tuberculosis. https://ejmcr.com/articles/1299 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1621275510

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Kaustabh Sen, Krithi Krishna Koduri, Ashirwad Pasumarthy, Hardik Rughwani, Duvvur Nageshwar Reddy. Spondylodiscitis with a psoas abscess - not a case of tuberculosis. EJMCR. (2021), [cited December 25, 2024]; 12 (August 2021): 249-252. doi:10.24911/ejmcr/173-1621275510

Harvard Style

Kaustabh Sen, Krithi Krishna Koduri, Ashirwad Pasumarthy, Hardik Rughwani, Duvvur Nageshwar Reddy (2021) Spondylodiscitis with a psoas abscess - not a case of tuberculosis. EJMCR, 12 (August 2021): 249-252. doi:10.24911/ejmcr/173-1621275510

Chicago Style

Kaustabh Sen, Krithi Krishna Koduri, Ashirwad Pasumarthy, Hardik Rughwani, Duvvur Nageshwar Reddy. "Spondylodiscitis with a psoas abscess - not a case of tuberculosis." 12 (2021), 249-252. doi:10.24911/ejmcr/173-1621275510

MLA (The Modern Language Association) Style

Kaustabh Sen, Krithi Krishna Koduri, Ashirwad Pasumarthy, Hardik Rughwani, Duvvur Nageshwar Reddy. "Spondylodiscitis with a psoas abscess - not a case of tuberculosis." 12.August 2021 (2021), 249-252. Print. doi:10.24911/ejmcr/173-1621275510

APA (American Psychological Association) Style

Kaustabh Sen, Krithi Krishna Koduri, Ashirwad Pasumarthy, Hardik Rughwani, Duvvur Nageshwar Reddy (2021) Spondylodiscitis with a psoas abscess - not a case of tuberculosis. , 12 (August 2021), 249-252. doi:10.24911/ejmcr/173-1621275510