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Updated: Feb 6, 2026
06:02
Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
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[Psoas abscess due to Candida tropicalis: a case report]
Mouhcine Miloudi1, Soufiane Belabbes2, Mohammed Sbaai1
1Laboratoire d'analyses médicales, Hôpital militaire, Guelmim, Maroc.
Annales De Biologie Clinique
|August 30, 2018
Summary
A rare Candida tropicalis psoas abscess was diagnosed in an otherwise healthy man presenting with back pain and fever. This case highlights the importance of considering fungal infections in unexplained psoas abscesses.
Area of Science:
- Infectious Diseases
- Mycology
- Radiology
Background:
- Psoas abscess is a rare infection, often bacterial, and challenging to diagnose.
- Fungal causes, such as Candida species, are uncommon but possible.
- Early diagnosis and treatment are crucial for patient outcomes.
Observation:
- A 52-year-old man with no prior medical history presented with inflammatory lower back pain, fever, and malaise.
- Clinical evaluation revealed renal insufficiency and a significant inflammatory response.
- Urgent computed tomography confirmed the presence of a psoas abscess.
Findings:
- Percutaneous drainage of the abscess was performed.
- Bacteriological analysis of the drained fluid identified Candida tropicalis as the causative agent.
- This represents an exceptional case of fungal psoas abscess.
Implications:
- This case underscores the need to consider non-bacterial etiologies in psoas abscesses, particularly in immunocompetent individuals.
- Fungal infections, like Candida tropicalis, should be included in the differential diagnosis.
- Prompt identification and targeted antifungal therapy are essential for managing such rare infections.
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