[ Abcès bilatéral du psoas associé à une Spondylodiscite d’origine tuberculeux: A propos d’un cas ]
Volume 62, Issue 2, September 2022, Pages 76–80
Adil Hmimech1, F. Hidki2, K. Souly3, and Mimoun Zouhdi4
1 Laboratoire central de bactériologie, CHU Ibn Sina, Rabat, Morocco
2 Laboratoire central de bactériologie, CHU Ibn Sina, Rabat, Morocco
3 Laboratoire central de bactériologie, CHU Ibn Sina, Rabat, Morocco
4 Microbiology Laboratory, Ibn Sina Hospital, Rabat, Morocco
Original language: French
Copyright © 2022 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: Tuberculosis is still rampant in endemic mode in our country. Several locations are possible. The osteoarticular form is rare but very serious. The prognosis depends on the speed of the diagnosis and the effectiveness of the treatment. Method: We report a case of spondylodiscitis and abscess of the psoas muscles of tuberculous origin diagnosed at the bacteriology laboratory Ibn Sina Hospital in Rabat by bacteriological tests and confirmed by imaging. Results: The evolution was favorable after anti-tuberculosis treatment according to the National Protocol for Tuberculosis Control. But the presence of very large lytic lesions made the practice of effort spots almost impossible given the risk of vertebral fracture which remains imminent. The osteoarticular location of tuberculosis is rare but very serious given its destructive power on the bone. The prognosis remains even worse when it comes to a vertebral location which can bring into play a functional or even vital prognosis in certain cases. Conclusion: In our context where tuberculosis is still endemic, it is unforgivable to miss the diagnosis which must be raised whenever the context is suspect. Do not hesitate to deplore all biological and radiological means in order to have an accurate diagnosis and be able to treat effectively, to avoid any complications.
Author Keywords: tuberculosis, spondylodiscitis, psoas.
Volume 62, Issue 2, September 2022, Pages 76–80
Adil Hmimech1, F. Hidki2, K. Souly3, and Mimoun Zouhdi4
1 Laboratoire central de bactériologie, CHU Ibn Sina, Rabat, Morocco
2 Laboratoire central de bactériologie, CHU Ibn Sina, Rabat, Morocco
3 Laboratoire central de bactériologie, CHU Ibn Sina, Rabat, Morocco
4 Microbiology Laboratory, Ibn Sina Hospital, Rabat, Morocco
Original language: French
Copyright © 2022 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Tuberculosis is still rampant in endemic mode in our country. Several locations are possible. The osteoarticular form is rare but very serious. The prognosis depends on the speed of the diagnosis and the effectiveness of the treatment. Method: We report a case of spondylodiscitis and abscess of the psoas muscles of tuberculous origin diagnosed at the bacteriology laboratory Ibn Sina Hospital in Rabat by bacteriological tests and confirmed by imaging. Results: The evolution was favorable after anti-tuberculosis treatment according to the National Protocol for Tuberculosis Control. But the presence of very large lytic lesions made the practice of effort spots almost impossible given the risk of vertebral fracture which remains imminent. The osteoarticular location of tuberculosis is rare but very serious given its destructive power on the bone. The prognosis remains even worse when it comes to a vertebral location which can bring into play a functional or even vital prognosis in certain cases. Conclusion: In our context where tuberculosis is still endemic, it is unforgivable to miss the diagnosis which must be raised whenever the context is suspect. Do not hesitate to deplore all biological and radiological means in order to have an accurate diagnosis and be able to treat effectively, to avoid any complications.
Author Keywords: tuberculosis, spondylodiscitis, psoas.
Abstract: (french)
Contexte: La tuberculose sévit toujours en mode endémique dans notre pays. Plusieurs localisations sont possibles. La forme ostéoarticulaire est rare mais très grave. Le pronostic dépend de la rapidité du diagnostic et de l’efficacité de la prise en charge. Méthodes: Nous rapportons un cas de spondylodiscite et abcès des muscles psoas d’origine tuberculeuse diagnostiquée au laboratoire de bactériologie Hôpital Ibn Sina de Rabat par un examen bactériologique et confirmé par imagerie. Résultats: L’évolution était favorable après un traitement antituberculeux selon le protocole national de lutte contre la tuberculose. Mais la présence de lésions lytiques très importantes a rendu la pratique de taches à efforts presque impossible vu le risque de fracture vertébrale qui demeure imminent. La localisation ostéoarticulaire de la tuberculose est rare mais très grave vu son pouvoir destructive sur l’os. Le pronostic reste encore plus sombre quand il s’agit d’une localisation vertébrale qui peut mettre en jeu pronostique fonctionnel ou même vital dans certain cas. Conclusion: Dans notre contexte ou la tuberculose est toujours endémique, il est impardonnable de passer à côté du diagnostic qu’il faut évoquer à chaque fois que le contexte est suspect. Il ne faut pas hésiter à déplorer tous les moyens biologiques et radiologiques afin d’avoir un diagnostic précis et pouvoir ainsi traiter efficacement, pour éviter toute complication.
Author Keywords: tuberculose, spondylodiscite, psoas.
How to Cite this Article
Adil Hmimech, F. Hidki, K. Souly, and Mimoun Zouhdi, “Bilateral psoas abscess associated with spondylodiscitis of tuberculous origin: About a case,” International Journal of Innovation and Scientific Research, vol. 62, no. 2, pp. 76–80, September 2022.
