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Psoas muscle tuberculosis in Greece: report of two cases

Leonidas Grigorakos, Vassilis Sgountzos, Sophia Simopoulou, Daria Lazarescu, Domenica Mavropanou, Anthi Georgiadou, Vassilis Tamvakis
  • Vassilis Sgountzos
    Sotiria Regional Chest Diseases Hospital, Athens, Greece
  • Sophia Simopoulou
    Peripheral Anticancer Oncology Hospital of Athens “Agios Savvas”, Athens, Greece
  • Daria Lazarescu
    Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece
  • Domenica Mavropanou
    Intensive Care Unit, Trauma Hospital of Athens, Kifissia, Greece
  • Anthi Georgiadou
    Intensive Care Unit, Trauma Hospital of Athens, Kifissia, Greece
  • Vassilis Tamvakis
    Sotiria Regional Chest Diseases Hospital, Athens, Greece

Abstract

Between January 2013 and January 2014, two patients with lower left abdominal pain were admitted to Sotiria Chest Diseases Hospital, Athens, Greece. They were diagnosed with psoas muscle tuberculosis based on the results of clinical evaluation, laboratory tests and radiological findings from chest X-rays and computed tomography. Administration of antitubercular chemotherapy reduced the inflammation, while clinical symptoms significantly improved within the first three weeks. Patients were discharged from the hospital two months later. Their follow-up consists of monthly check-ups, while continuing the anti-tuberculosis treatment successfully. We underline the importance of keeping a high suspicion of muscle tuberculosis in patients with psoas abscess, which, although not a seldom phenomenon, it should be taken into consideration as an etiology of muscular disease not only in regions where tuberculosis is endemic but also in countries with high incidence of immigrants or refugees originating from such areas.

Keywords

Muscle tuberculosis; Psoas muscle abscess; Greece

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Submitted: 2016-02-01 08:38:33
Published: 2017-03-09 11:54:58
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Copyright (c) 2017 Leonidas Grigorakos, Vassilis Sgountzos, Sophia Simopoulou, Daria Lazarescu, Domenica Mavropanou, Anthi Georgiadou, Vassilis Tamvakis

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