Bilateral psoas abscess in a renal transplant patient

Badurdeen, A. S.; Rajakrishna, Premil; Herath, H M N J; Wazil, Abdul; Nanayakkara, N.

doi:10.4038/cmj.v57i4.5090

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…Other causative organisms include Streptococcus sp., Escherichia coli , Mycobacterium tuberculosis , Mycoplasma pneumonia , Proteus , Pasteurella , and Bacteroides spp. [5, 6]. In our case, the pathogens of the psoas abscess were not identified; however, it was considered to be a secondary event leading to pyelonephritis by reasons of the positive urine bacterial culture, the negative blood bacterial culture, and the adjacent position of infected transplanted kidney and psoas abscess.…”

Section: Discussionmentioning

confidence: 70%

Urinary Obstruction of Transplanted Kidney Caused by Uterine Adenomyosis and 2-Year Posthysterectomy Psoas Abscess in Conjunction with Transplanted Kidney

Takezawa

Kadono

Nohara

et al. 2016

Case Reports in Transplantation

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Urinary obstruction of the transplanted kidney caused by uterine leiomyoma is an extremely rare condition. To the best of our knowledge, there are only two reports in English literature. Psoas abscess secondary to renal graft pyelonephritis is also uncommon. We present this unusual case and its treatment course. A 43-year-old female presented with renal dysfunction. She was started on peritoneal dialysis from the age of 26 years and received kidney transplantation from her mother (living donor) at the age of 27 years. Computed tomography (CT) revealed right hydronephrosis and a large uterine mass compressing the distal ureter of the transplanted kidney. After a simple total hysterectomy, her renal function improved. Two years following the hysterectomy, she experienced painful urination, fever, right abdominal pain, and right lower limb pain. CT and T2-weighed magnetic resonance imaging of her pelvis demonstrated right psoas abscess in conjunction with transplanted kidney. She was treated with broad-spectrum antibiotics alone, which resulted in a good response. Urinary obstruction of the transplanted kidney caused by uterine leiomyoma is an extremely rare condition. Psoas abscess secondary to transplanted kidney pyelonephritis is also rare. We should keep these rare diseases in mind when treating such cases.

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Section: Discussionmentioning

confidence: 70%

Urinary Obstruction of Transplanted Kidney Caused by Uterine Adenomyosis and 2-Year Posthysterectomy Psoas Abscess in Conjunction with Transplanted Kidney

Takezawa

Kadono

Nohara

et al. 2016

Case Reports in Transplantation

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“…In publications by Badurdeen, 13 Ozgur, 14 and Shohaib, 15 they report successful treatment after surgical intervention, but with a short follow-up. In our case, we have noted that even after presumed initial successful surgical treatment, a psoas abscess may come back or may still be present, but be completely asymptomatic for years.…”

Section: Discussionmentioning

confidence: 99%

Untitled

Ghazanfar

Khan²,

Popoola³

2016

Exp Clin Transplant

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A psoas abscess is a condition with vague symptomatology that is associated with potentially life-threatening suppurative myositis of the iliopsoas muscular compartment. Immunocompromised patients run an increased risk of developing suppurative or chronic abscesses from acute foci. The presence of a solid-organ transplant, and the attendant need for immunosuppressant therapies and impaired renal provide additional factors that could contribute to the comorbidities of this condition.Here, we present a 61-year-old white man with a functioning renal transplant who developed a chronic psoas abscess associated with an appendicular sinus that required serial computed tomographic-guided drainages during 8 years. We highlight the difficulties and limitations of managing a psoas abscess. We conclude that a conservative approach toward managing a chronic psoas abscess may be associated with good long-term patient and graft functions, with minimal risk to the patient.

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“…2 As for causative organisms of IPA in Sri Lanka, Badurdeen et al described a renal transplant recipient who developed bilateral psoas abscesses due to S. aureus. 8 A study from Greece reported only 5 cases of IPA within a 10 year period. Among those, only one isolate was found to be E. coli from mixed growth 9 .…”

Section: Discussionmentioning

confidence: 99%