Published: 2017-06-24

Psoas abscess due to mycobacterium tuberculosis: a case report

Ranjana R. Khorgade, Pramod R. Bhise, Mukta M. Deshmukh


Iliopsoas abscess (IPA), a collection of pus in the iliopsoas compartment that has traditionally been classified into primary and secondary according to its origin, is an infrequent condition worldwide. Mostly active TB is confined to the lung, but approximately 15% are extrapulmonary. The most common types of extrapulmonary TB are, in descending order of frequency, pleural, lymphatic, bone and joint, genitourinary, miliary disease, meningitis, and peritonitis. Tuberculosis (TB) remains as one of the leading opportunistic infection in patients in developing countries. Here we report a rare case of psoas abscess of tubercular origin in patient who presented with back pain and limping. Diagnosis is done based on history, physical examination, plain radiology, microbiological investigation and CT scan of abdomen which revealed a large psoas abscess caused by M. tuberculosis. Patient was diagnosed as psoas abscess due to Mycobacterium tuberculosis and treated empirically with DOTS category I and significant functional improvement was noted on follow up.


Back pain, CT scan, Psoas Abscess, Percutaneous drainage, Tuberculosis

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Mohammad Moin Uddin, Nusrat Sultana, Rezwan Rehan, Aminuddin Khan. Pott’s Disease with Psoas Abscess in a Diabetic Patient: A Conservative Approach. CMOSHMCJ 2014;13(2):67-69.

Fancourt GJ, Ebden P, Garner P. Bone tuberculosis: result & experience in Leicestershire. Br J Dis Chest1986;80:265-272.

Nejat Altıntaş, Suna Türkeli, et al. A Rare Case of Tuberculosis Psoas Abscess Eur J Gen Med 2012;9(2):159-161.

Van den Berge M , de Marie S, Kuipers T, Jansz AR,Bravenboer. Psoas abscess: report of a series and review of the literature. Journal of Medicine 2005;63(10):413-416.

Rakesh TP, Kidangazhiathmana A, Jyothish K, Amrutha PC, Satheeshbabu TV. Large primary tuberculous psoas abscess in an HIV patient – a case report. SAARC J TUBER LUNG DIS HIV/AIDS 2014;xi(2):34-36.

Kiran Chawla, Annet D’Souza1, Shyamsunder Bhat N, Chiranjay Mukhopadhayay. Primary tubercular psoas abscess: a rare presentation. J Infect Dev Ctries 2012; 6(1):86-88.

Karim NM, Chowdhury SA, Hussain MM, Faiz MA. A clinical study on extra-pulmonary tuberculosis. Journal of Bangladesh College of Physician and Surgeons 2006;24(1):19-28.

Vicente Navarro Lo´pez, MD, Jose´ M. Ramos, et al. Microbiology and Outcome of Iliopsoas Abscess in 124 Patients. Medicine 2009;88(2):120-130.

Suryanarayana B, Siddeswari R, Tirupathi Reddy, Sudarshi B, Manohar S. Psoas Abscess, Bilateral Pyelonephritis with Staphylococcus Aureus Infections. IJSRP 2015;5(3):1-4.