A Case of Primary Iliopsoas Abscess Presented as Femoral Neuropathy in a Hemodialysis Patient / 대한신장학회잡지
Korean Journal of Nephrology
; : 180-184, 2004.
Article
de Ko
| WPRIM
| ID: wpr-24484
Bibliothèque responsable:
WPRO
ABSTRACT
Primary iliopsoas abscess is a rare but potentially serious condition. The diagnosis is frequently delayed due to its variable and nonspecific features and occult clinical course. The delayed diagnosis and treatment of iliopsoas abscess is the major poor prognostic factor. We report a rare case of primary iliopsoas abscess that presented as a femoral neuropathy in a patient on hemodialysis. A 49-year-old man with end stage renal disease was admitted due to pain in the left inguinal area, and weakness and hypoesthesia of left lower leg. Left iliopsoas abscess was confirmed by CT and MRI. Left femoral neuropathy was diagnosed with electrodiagnostic study. Iliopsoas abscess with femoral neuropathy was completely treated with CT-guided aspiration, antibiotics and prolonged physical therapy of hip and knee joints. To our knowledge, this is the first case report of primary iliopsoas abscess presented as a femoral neuropathy in a patient on hemodialysis in Korea.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Imagerie par résonance magnétique
/
Dialyse rénale
/
Abcès du psoas
/
Mononeuropathie du nerf fémoral
/
Diagnostic
/
Retard de diagnostic
/
Hanche
/
Hypoesthésie
/
Défaillance rénale chronique
/
Articulation du genou
Type d'étude:
Diagnostic_studies
/
Prognostic_studies
Limites du sujet:
Humans
Pays comme sujet:
Asia
langue:
Ko
Texte intégral:
Korean Journal of Nephrology
Année:
2004
Type:
Article