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- Title
A gigantic iliopsoas abscess in a patient with Alexander's disease.
- Authors
Tsukamoto, Masatsugu; Morimoto, Tadatsugu; Kobayashi, Takaomi; Hirata, Hirohito; Yoshihara, Tomohito; Mawatari, Masaaki
- Abstract
Key Clinical Message: This case highlights the importance of early diagnosis of iliopsoas abscess in patients with communication difficulties and appropriate treatment to prevent further complications. We report a case in which the detection of an iliopsoas abscess was delayed due to difficulty in communication but was successfully treated with percutaneous drainage. A 70‐year‐old man with a 38–39°C fever and 5.69 mg/dL C‐reactive protein. Adult‐onset Alexander's illness, affected his swallowing, speech, coordination, and motor function. Abdominal computed tomography revealed a big iliopsoas abscess. Antibacterial treatment followed percutaneous draining. Drainage reduced temperature and inflammation. Four months later, the iliopsoas abscess returned, the second drainage eliminated recurrence. Difficulty in communicating was a contributing factor to the delayed diagnosis of a giant iliopsoas abscess. In the treatment of such patients, percutaneous drainage seems effective as an initial therapy.
- Subjects
ILIOPSOAS muscle; ABSCESSES; LIVER abscesses; DELAYED diagnosis; C-reactive protein; COMPUTED tomography
- Publication
Clinical Case Reports, 2023, Vol 11, Issue 11, p1
- ISSN
2050-0904
- Publication type
Case Study
- DOI
10.1002/ccr3.8118