Psoas Abscess with Pott Spine: A Case Report

Abstract Introduction Psoas abscess is the accumulation of fluid around the iliopsoas muscle. Potts spine also called spinal tuberculosis occurs due to extra pulmonary tuberculosis. The most common etiology is staphylococcus aureus. Common clinical manifestations include high grade fever, back pain, weight loss and lump in groin. Condition can be treated by anti-tubercular therapy and sensitive Anti-microbials with analgesics for symptomatic relief. Drainage and surgical procedures can be carried out to remove the accumulated fluid based on inter individual severity. In this case study, we report a rare case of Psoas Abscess with Pott Spine. Case Presentation A 28-year female presented with complaints of lump pain in groin, abdominal pain, flank pain, fever and weight loss. Medical history showed untreated tuberculosis since 5-6 months. MRI Pelvis showed right psoas abscess measuring approximately 7cm x 6.5cm x 14cm while MRI Dorso-lumbar Spine showed Potts spine. The drainage clearance procedure was performed, and patient was prescribed with anti-tuberculous and anti-microbial drugs during hospitalisation. On discharge patient’s condition was improved. Conclusion The condition is rare. Potts spine, if not diagnosed early may delay the prognosis and cause psoas abscess so it must be treated in time to reduce morbidity and mortality. Follow-up is essential to prevent the relapse of Extra-pulmonary tuberculosis.