       Document 0542
 DOCN  M9620542
 TI    Tuberculous psoas abscess.
 DT    9602
 AU    Harrigan RA; Kauffman FH; Love MB; Emergency Medical Services, Temple
       University Hospital,; Philadelphia, PA 19140, USA.
 SO    J Emerg Med. 1995 Jul-Aug;13(4):493-8. Unique Identifier : AIDSLINE
       MED/96068270
 AB    Although its historical significance is well established, Mycobacterium
       tuberculosis today is considered an extremely rare cause of psoas
       abscess. Nontuberculous bacterial infection, most commonly secondary to
       an intraabdominal process but at times appearing without an identifiable
       source, is responsible for the vast majority of psoas abscesses. The
       recent resurgence of tuberculosis may portend another change in the
       etiologic trend of psoas abscess. It is essential that the emergency
       physician not only recognize the potentially subtle presentation of
       psoas abscess, but also include tuberculosis in the differential
       diagnosis of infectious causes of this entity. A case of tuberculous
       psoas abscess in an HIV-negative man is presented. A review of the
       anatomy, pathophysiology, clinical presentation, epidemiology, and
       treatment follows, highlighting the similarities and differences between
       tuberculous and nontuberculous psoas infection.
 DE    Antitubercular Agents/THERAPEUTIC USE  Case Report  Combined Modality
       Therapy  Debridement  Diagnosis, Differential  Human  HIV Seronegativity
       Male  Middle Age  *Psoas Abscess/MICROBIOLOGY/RADIOGRAPHY/THERAPY
       *Tuberculosis/MICROBIOLOGY/RADIOGRAPHY/THERAPY  JOURNAL ARTICLE  REVIEW
       REVIEW OF REPORTED CASES

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

