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[Bilateral epidural psoas abscess simulating bilateral proximal diabetic plexopathy]

J Roquer1, P Sales, S Paredes

  • 1Servicio de Neurología, Hospital del Mar, Barcelona.

Neurologia (Barcelona, Spain)
|August 1, 1996
PubMed
Summary

This case study highlights a rare instance of epidural and bilateral psoas abscesses in a diabetic patient, mimicking diabetic plexopathy. The unusual Streptococcus bovis infection presented diagnostic challenges.

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Area of Science:

  • Infectious Diseases
  • Neurology
  • Diabetology

Background:

  • Diabetic patients are susceptible to various infections.
  • Psoas and epidural abscesses are serious but distinct conditions.
  • Diabetic proximal plexopathy presents with neurological deficits.

Observation:

  • A diabetic woman presented with symptoms mimicking diabetic proximal plexopathy.
  • Imaging revealed an associated epidural abscess and bilateral psoas abscesses.
  • The causative agent identified was Streptococcus bovis, a rare pathogen in this context.

Findings:

  • The co-occurrence of epidural and bilateral psoas abscesses is exceptionally rare.
  • Streptococcus bovis is an uncommon cause of such abscesses.
  • The clinical presentation posed significant diagnostic challenges due to overlapping symptoms with diabetic plexopathy.

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Implications:

  • This case underscores the importance of considering rare infectious etiologies in diabetic patients with neurological symptoms.
  • Accurate and timely diagnosis is crucial for effective management of complex abscesses.
  • Awareness of such presentations can improve diagnostic strategies and patient outcomes.