A case of Klebsiella psoas abscess due to diverticulitis and intestinal tuberculosis |
Seung Chan Park, Jung Chul Park, Ki Tae Kwon, Chang Keun Park, Mi Jin Gu, Ji Yeol Shin, Hea Chang Cho |
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장결핵을 동반한 게실염에 의한 Klebsiella 요근 농양 1예 |
박승찬, 박정철, 권기태, 박창근, 구미진, 신지열, 조해창 |
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Abstract |
A 38-year-old male-to-female transgender patient who had undergone a transsexual operation 20 years earlier presented with right flank pain and chills. Abdominal CT scan and gastrografin colon enema revealed a right psoas abscess and an abnormal communication between the large bowel and this psoas abscess. She underwent a right hemicolectomy and was finally diagnosed as having a Klebsiella psoas abscess due to perforated diverticulitis and intestinal tuberculosis. Additional antibiotics and antituberculous medication were required. A secondary psoas abscess due to diverticulitis is rare, and to our knowledge, no case combined with intestinal tuberculosis has previously been reported. We present the case with a brief review of related reports. |
Key Words:
Psoas abscess; Diverticulitis; Klebsiella |
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