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Iliopsoas Pyomyositis Overlaping the Herniated Intervertebral Lumbar Disc Symptom -A case report-  

Lee, Eun Kyeng (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine)
Son, Youn Sook (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine)
Joe, Hyun Sook (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine)
Kang, Jun Ku (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine)
Kim, Dae Young (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine)
Lee, Sang Mook (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine)
Publication Information
The Korean Journal of Pain / v.19, no.2, 2006 , pp. 278-281 More about this Journal
Abstract
The diagnosis of pyomyositis in the pelvic region is difficult, as its incidence is relatively, with symptoms that mimic those of discogenic pain. Sciatica is a common presentation of a prolapsed lumbar disc. Less common causes, such as spinal stenosis, pelvic tumors or even primary nerve tumors can also cause these symptoms. Magnetic resonance imaging (MRI) is a useful diagnostic tool. Herein, the case of a patient with an acute pyogenic infection in the iliopsoas muscle, presenting with sciatica, is reported. This is a rare infective disease, which if promptly treated with intravenous antibiotics, can be completely resolved; otherwise, it can result in deep abscess formation, sepsis and death.
Keywords
herniated intervertebral disc; iliopsoas pyomyositis;
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