A Patient Presented as Gluteal Abscess Diagnosed to be a Case of Pott’s Spine with Psoas Abscess: A Case Report

Dr. Jyoti Verma; Dr. Jyoti Pankaj; Dr. Tabish Abbasi

doi:10.23958/ijirms/vol10-i04/2051

Abstract

A gluteal abscess can be a manifestation of Pott’s spine. The most common cause of gluteal abscess is parentral drug administration using contaminated needles. Other causes include infected hematoma, seroma, posttraumatic sepsis and spread of intrapelvic sepsis to the gluteal region.

Here a case is presented where a middle-aged female patient was admitted for the complain of recurrent gluteal abscess for 1 year for which surgical drainage was done several times outside before coming to the present hospital. She developed complain of lower back since few months which was ignored by the patient herself. She had other complained of other constitutional symptoms. Later on investigation it was diagnosd to be a case of pott’s spine which has sinus track to gluteal muscle.

Keywords

Gluteal abscessPott’s spineGluteal muscle

References

Trecarichi EM, Di Meco E, Mazzotta V, Fantoni M. Tuberculous spondylodiscitis: epidemiology, clinical features, treatment, and outcome. Eur Rev Med Pharmacol Sci. 2012;16(Suppl 2):58–72.Google Scholar ↗
Okwudire EG, Ezenwugo UM, Ugwoegbu JU, Okoro CA, Isiozor I. Atypical presentation of cervical pott’s disease: a case report. J Tuberc Res. 2021;9(3):211-8.Google Scholar ↗
Garg R.K., Somvanshi D.S. Spinal tuberculosis: a review. J. Spinal Cord Med. 2011;34(5):440–454.Google Scholar ↗
Masavkar S., Shanbag P., Inamdar P. Pott’s spine with bilateral psoas abscesses. Case Rep. Orthop. 2012 Epub 2012 Jul 22.Google Scholar ↗
Davda P., Bharucha T., Murugachandran J., Palchaudhuri P. Epidemiology and clinical management of spinal tuberculosis (TB) at a south-east London hospital. Eur. Res. J. 2014;44(Suppl. 58):P1440.Google Scholar ↗
Sershen C.L., Plimpton S.J., May E.E. Oxygen modulates the effectiveness of granuloma mediated host response to Mycobacterium tuberculosis: a multiscale computational biology approach. Front. Cell. Infect. Microbiol. 2016;6:6.Google Scholar ↗
Puthezhath K., Zacharia B., Mathew T. Gluteal abscess: diagnostic challenges and management. J. Infect. Dev. 2010;4(05):345–348.Google Scholar ↗
Patankar T., Krishnan A., Patkar D., Kale H., Prasad S., Shah J., Castillo M. Imaging in isolated sacral tuberculosis: a review of 15 cases. Skeletal Radiol. 2000;29(July (7)):392–396.Google Scholar ↗
Puthezhath K., Zacharia B., Mathew T.P. Gluteal abscess: diagnostic challenges and management. J. Infect. Dev. 2010;4(June (5)):345–348.Google Scholar ↗
Varatharajah S., Charles Y.P., Buy X., Walter A., Steib J.P. Update on the surgical management of Pott’s disease. Orthop. Traumatol. Surg. Res. 2014;100(April (2)):229–235.Google Scholar ↗
Garg RK, Somvanshi DS. Spinal tuberculosis: a review. J Spinal Cord Med. 2011;34(5):440–54.Google Scholar ↗
Ferriastuti W. Pott’s disease with extensive cold abscess in the abdominal cavity which was misinterpreted as malignancy. Radiol Case Rep. 2022;17(5):1502–5.Google Scholar ↗
Sinan T, Al-Khawari H, Ismail M, Ben-Nakhi A, Sheikh M. Spinal tuberculosis: CT and MRI features. Ann Saudi Med. 2004;24(6):437–41.Google Scholar ↗

[refR-1] Trecarichi EM, Di Meco E, Mazzotta V, Fantoni M. Tuberculous spondylodiscitis: epidemiology, clinical features, treatment, and outcome. Eur Rev Med Pharmacol Sci. 2012;16(Suppl 2):58–72.Google Scholar ↗

[refR-2] Okwudire EG, Ezenwugo UM, Ugwoegbu JU, Okoro CA, Isiozor I. Atypical presentation of cervical pott’s disease: a case report. J Tuberc Res. 2021;9(3):211-8.Google Scholar ↗

[refR-3] Garg R.K., Somvanshi D.S. Spinal tuberculosis: a review. J. Spinal Cord Med. 2011;34(5):440–454.Google Scholar ↗

[refR-4] Masavkar S., Shanbag P., Inamdar P. Pott’s spine with bilateral psoas abscesses. Case Rep. Orthop. 2012 Epub 2012 Jul 22.Google Scholar ↗

[refR-5] Davda P., Bharucha T., Murugachandran J., Palchaudhuri P. Epidemiology and clinical management of spinal tuberculosis (TB) at a south-east London hospital. Eur. Res. J. 2014;44(Suppl. 58):P1440.Google Scholar ↗

[refR-6] Sershen C.L., Plimpton S.J., May E.E. Oxygen modulates the effectiveness of granuloma mediated host response to Mycobacterium tuberculosis: a multiscale computational biology approach. Front. Cell. Infect. Microbiol. 2016;6:6.Google Scholar ↗

[refR-7] Puthezhath K., Zacharia B., Mathew T. Gluteal abscess: diagnostic challenges and management. J. Infect. Dev. 2010;4(05):345–348.Google Scholar ↗

[refR-8] Patankar T., Krishnan A., Patkar D., Kale H., Prasad S., Shah J., Castillo M. Imaging in isolated sacral tuberculosis: a review of 15 cases. Skeletal Radiol. 2000;29(July (7)):392–396.Google Scholar ↗

[refR-9] Puthezhath K., Zacharia B., Mathew T.P. Gluteal abscess: diagnostic challenges and management. J. Infect. Dev. 2010;4(June (5)):345–348.Google Scholar ↗

[refR-10] Varatharajah S., Charles Y.P., Buy X., Walter A., Steib J.P. Update on the surgical management of Pott’s disease. Orthop. Traumatol. Surg. Res. 2014;100(April (2)):229–235.Google Scholar ↗

[refR-11] Garg RK, Somvanshi DS. Spinal tuberculosis: a review. J Spinal Cord Med. 2011;34(5):440–54.Google Scholar ↗

[refR-12] Ferriastuti W. Pott’s disease with extensive cold abscess in the abdominal cavity which was misinterpreted as malignancy. Radiol Case Rep. 2022;17(5):1502–5.Google Scholar ↗

[refR-13] Sinan T, Al-Khawari H, Ismail M, Ben-Nakhi A, Sheikh M. Spinal tuberculosis: CT and MRI features. Ann Saudi Med. 2004;24(6):437–41.Google Scholar ↗