Psoas Abscess with Osteomyelitis in a Patient Undergoing Long-Term Hemodialysis

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Abstract

We describe a 69-year-old male patient on maintenance hemodialysis for 24 years who developed a fatal left psoas abscess with osteomyelitis at the hip joint following acute enterocolitis. He had systemic β<sub>2</sub>-microglobulin amyloid deposition in colon epithelium and psoas muscle. Cultures from abscess fluid and femoral bone marrow yielded Bacteroides fragilis. To our knowledge, this is the first case on hemodialysis having a psoas abscess following acute gastrointestinal infection. This rare case suggested that a secondary psoas abscess could be one of the occult infections in patients undergoing long-term maintenance hemodialysis.

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Journal ID (publisher-id): AJN

Journal ID (nlm-ta): Am J Nephrol

Journal ID (doi): 10.1159/issn.0250-8095

Title: American Journal of Nephrology

Publisher: S. Karger AG

ISSN (Print): 0250-8095

ISSN (Electronic): 1421-9670

Publication date Subscription-year: 2001

Publication date (Print): October 2001

Publication date (Electronic): 19 October 2001

Volume: 21

Issue: 5

Pages: 410-412

Affiliations

^aFirst Department of Medicine, Hamamatsu University School of Medicine, and ^bMaruyama Hospital, Hamamatsu, Japan

Article

Publisher ID: 46285 Other ID: Am J Nephrol 2001;21:410–412

DOI: 10.1159/000046285

PubMed ID: 11684805

SO-VID: 7fb5bbfc-bb90-47cd-b8fb-05c1e54ff02f

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Psoas Abscess with Osteomyelitis in a Patient Undergoing Long-Term Hemodialysis

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Karger: Nephrology

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