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Updated: Jun 12, 2026

Posterior Approach for Debridement of the Psoas Abscess

Posterior Approach for Debridement of the Psoas Abscess

Published on: March 2, 2020

Gluteal Abscess: Diagnostic challenges and management.

Kishore Puthezhath¹, Balaji Zacharia, Tils P Mathew

¹Department of Orthopedics and Arthroscopy, Medical College, AIMS, Kerala, India. drkmenon@gmail.com

Journal of Infection in Developing Countries

|June 12, 2010

Summary

Tuberculosis of the spine can present solely as a gluteal abscess, even in immunocompetent individuals. This rare presentation highlights the importance of considering spinal tuberculosis in cases of unexplained gluteal abscesses.

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Last Updated: Jun 12, 2026

Posterior Approach for Debridement of the Psoas Abscess

Posterior Approach for Debridement of the Psoas Abscess

Published on: March 2, 2020

Area of Science:

Orthopedics
Infectious Diseases
Radiology

Background:

Spinal tuberculosis (caries spine) is a known cause of gluteal abscesses.
Literature review reveals limited reports of vertebral tuberculosis presenting exclusively as a gluteal abscess in adults.

Observation:

A case study of an immunocompetent young adult with tuberculosis of the lumbar spine is presented.
The primary and only clinical manifestation was a gluteal abscess.

Findings:

This case underscores that a gluteal abscess can be the sole presenting sign of lumbar spine tuberculosis.
Diagnostic challenges arise due to the atypical and isolated presentation.

Implications:

Clinicians should maintain a high index of suspicion for spinal tuberculosis in patients with gluteal abscesses, regardless of immune status.
Further research into rare presentations of spinal tuberculosis is warranted to improve diagnostic accuracy.