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Case Reports
. 2010 Sep 20:2010:bcr0120102642.
doi: 10.1136/bcr.01.2010.2642.

Bilateral psoas abscesses and vertebral osteomyelitis in a patient with sickle cell disease

M Asnani  1 , E W Williams, S Cawich, M Reid, A Mansingh, S Shah, Jean Williams-Johnson
Affiliations
Case Reports

Bilateral psoas abscesses and vertebral osteomyelitis in a patient with sickle cell disease

M Asnani et al. BMJ Case Rep. .

Abstract

The authors present a case of a patient with sickle-β thalassaemia (Sβ(0) Thal) who had bilateral psoas abscesses on a background of splenectomy in early childhood. The patient also turned out to have vertebral osteomyelitis and hydronephrosis on the side of the larger abscess. The only organism recovered from the patient was a Bacteroides species. The patient was managed with percutaneous drainage and intravenous antibiotics and made a full recovery.

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Conflict of interest statement

Competing interests None.

Figures

Figure 1
Figure 1
Intravenous Pyelogram film demonstrating right hydronephrosis on the side of the larger psoas abscess.
Figure 2
Figure 2
Lumbosacral views showing vertebral body destruction at multiple levels.
Figure 3
Figure 3
Sagittal T2W MRI showing confluent vertebral osteomyelitis (arrows).
Figure 4
Figure 4
Axial T2W MRI showing spread of purulent material into the right psoas.
See this image and copyright information in PMC

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