MR Vol.11 No.2 indexに戻る

MODERN RHEUMATOLOGY Vol.11 No.2             
A case of psoas abscess in a patient with systemic sclerosis and rheumatoid arthritis
T. Tsuji1, A. Ihata1, J. Saito1, J. Chiba2, T. Igarashi1, Y. Ishigatsubo3
(1)Internal Medicine, Miura Municipal Hospital, 4-33 Koyo-cho, Miura, Kanagawa 238-0222, Japan
(2)Internal Medicine, Pacific Hospital, Yokosuka, Japan
(3)First Department of Internal Medicine, Yokohama City University School of Medicine, Yokohama, Japan
 
Abstract
Abstract We report a case of psoas abscesses associated with systemic sclerosis and rheumatoid arthritis. A 61-year-old woman had been sufferring from high fever. A computed tomography (CT) scan revealed bilateral psoas abscesses from which Peptostreptococcus spp. were detected by a culture of the pus. The abscesses were ameliorated by performing CT-guided percutaneous drainage and using appropriate antibiotics. Although psoas abscess is relatively rare, it can be a cause of fever of unknown origin in collagen diseases.
 
Key words
Key words Psoas abscess ・ Rheumatoid arthritis ・ Systemic sclerosis
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