Paraspinal abscesses in a diabetic patient

Askin Uysal, Mihaly Tapolyai, Moheb Boktor, Surender Arora

Research output: Contribution to journalArticle

Abstract

Paraspinal and iliopsoas abscesses are rare conditions that are often diagnosed late therefore it can cause significant morbidity and mortality. They can occur in the setting of intravenous drug abuse, diabetes, crohn's disease and human immunodeficiency virus (HIV). We report a 52 year old diabetic male with history of hepatitis C, polysubstance abuse who presented to the hospital complaining of severe back pain as well as vague abdominal pain. Patient underwent an urgent magnetic resonance imaging (MRI) that confirmed presence of paraspinal and iliopsoas abscesses. The patient once diagnosed underwent cat (CT) scan to rule out osteomyelitis. He also underwent CT guided biopsy and aspiration via 18 gauge spinal needle followed by placement of 10 French pigtail draining catheter. Patient responded well to the hospital treatment and his condition improved steadily over a week. Pathogenesis, diagnosis and therapy of iliopsoas as well as paraspinal abscesses are reviewed for this unusual condition.

Original languageEnglish (US)
Pages (from-to)186-190
Number of pages5
JournalJournal of Neurological Sciences
Volume25
Issue number3
StatePublished - Dec 3 2008
Externally publishedYes

Keywords

  • Crohn's disease
  • Diabetes
  • Iliopsoas abscess
  • Paraspinal abscess
  • Staphylococcal infection

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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    Uysal, A., Tapolyai, M., Boktor, M., & Arora, S. (2008). Paraspinal abscesses in a diabetic patient. Journal of Neurological Sciences, 25(3), 186-190.