Spondylodiscitis with a psoas abscess - not a case of tuberculosis
Authors: Kaustabh Sen, Krithi Krishna Koduri, Ashirwad Pasumarthy, Hardik Rughwani, Duvvur Nageshwar Reddy
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.
Authors
Correspondence to:
Krithi Krishna Koduri, Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India krithivk@gmail.com
Publication history:
Received 17 May 2021
Revised 22 Jun 2021
Accepted 18 Jul 2021
Published online 12 Aug 2021
Published in print 28 Aug 2021
Sen K, Koduri KK, Pasumarthy A, Rughwani H, Reddy DN. Spondylodiscitis with a psoas abscess - not a case of tuberculosis. EJMCR. 2021; 5(8): 249-252. doi:
10.24911/ejmcr/173-1621275510
Sen K, Koduri KK, Pasumarthy A, Rughwani H, Reddy DN. Spondylodiscitis with a psoas abscess - not a case of tuberculosis. https://www.ejmcr.com/?mno=81957 [Access: April 25, 2024]. doi:
10.24911/ejmcr/173-1621275510
Sen K, Koduri KK, Pasumarthy A, Rughwani H, Reddy DN. Spondylodiscitis with a psoas abscess - not a case of tuberculosis. EJMCR. 2021; 5(8): 249-252. doi:
10.24911/ejmcr/173-1621275510
Sen K, Koduri KK, Pasumarthy A, Rughwani H, Reddy DN. Spondylodiscitis with a psoas abscess - not a case of tuberculosis. EJMCR. (2021), [cited April 25, 2024]; 5(8): 249-252. doi:
10.24911/ejmcr/173-1621275510
Sen, K., Koduri, . K. K., Pasumarthy, . A., Rughwani, . H. & Reddy, . D. N. (2021) Spondylodiscitis with a psoas abscess - not a case of tuberculosis. EJMCR, 5 (8), 249-252. doi:
10.24911/ejmcr/173-1621275510
Sen, Kaustabh, Krithi Krishna Koduri, Ashirwad Pasumarthy, Hardik Rughwani, and Duvvur Nageshwar Reddy. 2021. Spondylodiscitis with a psoas abscess - not a case of tuberculosis. European Journal of Medical Case Reports, 5 (8), 249-252. doi:
10.24911/ejmcr/173-1621275510
Sen, Kaustabh, Krithi Krishna Koduri, Ashirwad Pasumarthy, Hardik Rughwani, and Duvvur Nageshwar Reddy. "Spondylodiscitis with a psoas abscess - not a case of tuberculosis." European Journal of Medical Case Reports 5 (2021), 249-252. doi:
10.24911/ejmcr/173-1621275510
Sen, Kaustabh, Krithi Krishna Koduri, Ashirwad Pasumarthy, Hardik Rughwani, and Duvvur Nageshwar Reddy. "Spondylodiscitis with a psoas abscess - not a case of tuberculosis." European Journal of Medical Case Reports 5.8 (2021), 249-252. Print. doi:
10.24911/ejmcr/173-1621275510
Sen, K., Koduri, . K. K., Pasumarthy, . A., Rughwani, . H. & Reddy, . D. N. (2021) Spondylodiscitis with a psoas abscess - not a case of tuberculosis. European Journal of Medical Case Reports, 5 (8), 249-252. doi:
10.24911/ejmcr/173-1621275510