The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2009;77(1):230-235.
장결핵을 동반한 게실염에 의한 Klebsiella 요근 농양 1예
박승찬, 박정철, 권기태, 박창근, 구미진, 신지열, 조해창
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


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.

Keywords :Psoas abscess, Diverticulitis, Klebsiella
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