Turkish Journal of Physical Medicine and Rehabilitation 2010 , Vol 56 , Num 1
Spinal and Psoas Abscesses in a Patient with Diabetes Mellitus: A Case Report
Sedat Soyupek 1 ,Feray Soyupek 2 ,Mert Köroğlu 3 ,Hale Gül Bozkurt 2 ,Serdar Baki Albayrak 4 ,Onur Kaya 5
1 Süleyman Demirel Üniversitesi Tıp Fakültesi, Üroloji Anabilim Dalı, Isparta, Türkiye
2 Süleyman Demirel Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Isparta
3 Süleyman Demirel Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Isparta
4 Süleyman Demirel Üniversitesi Tıp Fakültesi, Beyin Cerrahisi Anabilim Dalı, Isparta
5 Süleyman Demirel Üniversitesi Tıp Fakültesi, Enfeksiyon Hastalıkları Anabilim Dalı, Isparta

Diabetes mellitus predisposes to infections. We aimed to report a patient with psoas and epidural abscesses at the same time without discitis/spondylitis and osteomyelitis formation, and to discuss the treatment options. We report a 58-year-old insulin-dependent woman with sudden onset of low back pain and difficulty in walking after a traumatic event. The patient had neurological deficits including neurogenic bladder. Psoas abscess and epidural abscess were diagnosed using imaging methods. Percutaneus drainage of  psoas abscess was performed. Growth of enterococcus species was observed. We treated the epidural abscess with antibiotics. The signs and symptoms of infection in the patient disappeared after cutaneus drainage and antibiotic therapy. Psoas and epidural abscesses can be seen at the same time in patients with diabetes mellitus, and drainage and antibiotic therapy are beneficial. 

Keywords : Psoas, epidural, abscess, diabetes mellitus