Pyogenic Sacroiliitis with Psoas Abscess: A case report.

, Lee, Joong Hoon; , Shin, Hee Suk; , Yoon, Chul Ho; , Kwon, Soo Hyeon; , Lee, Eun Shin

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2008;32(4):465-468.

Lee, Joong Hoon , Shin, Hee Suk , Yoon, Chul Ho , Kwon, Soo Hyeon , Lee, Eun Shin

Department of Rehabilitation Medicine, Gyeongsang National University College of Medicine, Korea. rmeslee@gnu.ac.kr

화농성 천장골염에 동반된 장요근 농양-증례 보고-

이중훈, 신희석, 윤철호, 권수현, 이은신

경상대학교 의과대학 재활의학교실

Abstract

Pyogenic sacroiliitis is a rare infection that may accompany psoas muscle abscess with vague clinical presentation, which present a diagnostic challenge requiring a high index of suspicion. We report a 48-year-old male, diagnosed pyogenic sacroiliitis with psoas abscess caused by Streptococcus intermedius and Sphingomonas paucimobilis. Magnetic resonance imaging showed multiloculated rim-enhancing lesion in right psoas muscle and joint effusion with osteomyelitis around sacroiliac joint. Intravenous antibiotics were administered after ultrasonographically guided abscess aspiration. Surgical drainage was done and his fever and symptom gradually subsided. (J Korean Acad Rehab Med 2008; 32: 465-468)

Key Words: Sacroiliitis, Psoas abscess, Streptococcus intermedius, Sphingomonas paucimobilis