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Liver and Abdominal Wall Abscess Complicated with Pyogenic Discitis and Iliopsoas Abscess in a Rheumatoid Arthritis Patient. Case Report Hajime Yamanaka 1 , Kazuhisa Miyamoto 1 , Ken-ichiro Goto 1 , Yasuaki Murata 1 1Department of Orthopaedic Surgery, National Hospital Organization, Shimoshizu Hospital Keyword: pyogenic discitis , 化膿性椎間板炎 , iliopsoas abscess , 腸腰筋膿瘍 , rheumatoid arthritis , 関節リウマチ pp.819-822
Published Date 2005/7/1
DOI https://doi.org/10.11477/mf.1408100147
  • Abstract
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 We report a case of liver and abdominal wall abscess complicated by pyogenic discitis and iliopsoas abscess in a rheumatoid arthritis patient. The 72-year-old man, who had taken 17.5mg of prednisolone daily reported redness of the lower right abdomen, heat, and right thigh pain. CT and MRI results showed liver and abdominal wall abscess, pyogenic discitis, and iliopsoas abscess. We treated these by percutaneous drainage in pyogenic discitis and iliopsoas abscess 5 times, without success. Bacteria were not detected from pus, so no antibiotic had been prescribed for the patient. He died of pneumonia 3months later. In a compromised host suffering from abscesses, it is important to undertake surgical drainage immediately upon diagnosis, taking into account the patient's general condition.


Copyright © 2005, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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