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[Bilateral brucellosic psoas abscess: one case is related and literature review]

J Romero Otero1, V Martínez Silva, M Pamplona Casamayor

  • 1Servicio de Urología, Hospital Universitario 12 de Octubre, Madrid.

Actas Urologicas Espanolas
|September 27, 2005
PubMed

Insights

Brucellosis, an endemic zoonotic infection in Spain, presents with diverse symptoms and can affect any organ system. This study highlights the rare complication of bilateral psoas abscesses, emphasizing diagnostic and therapeutic strategies.

Area of Science:

  • Infectious Diseases
  • Radiology
  • Surgical Pathology

Background:

  • Brucellosis is an endemic zoonotic infection in Spain, often presenting as fever of unknown origin with non-specific symptoms.
  • While brucellosis can affect virtually any organ system, osteoarticular involvement is the most frequent focal presentation.

Observation:

  • Para-perivertebral abscesses are known complications of brucellosis.
  • Unilateral psoas abscess (PA) is uncommon, and bilateral PA is exceptional, often presenting insidiously with vague symptoms rather than the classic triad.

Findings:

  • Diagnosis relies on serological tests and cultures.
  • Imaging techniques such as ultrasonography and tomography have significantly improved the diagnosis and management of PA complications.

Implications:

  • Effective treatment involves doxycycline and streptomycin, with potential need for percutaneous drainage or surgery for abscesses.
  • Understanding the rare presentation of bilateral PA is crucial for timely diagnosis and management in endemic areas.

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