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Actas Urológicas Españolas

Print version ISSN 0210-4806


ROMERO OTERO, J. et al. Bilateral brucellosic psoas abscess: one case is related and literature review. Actas Urol Esp [online]. 2005, vol.29, n.7, pp.704-707. ISSN 0210-4806.

The Brucellosis is a zoonotic and unfrequent infection but it is endemic in Spain. It is a well documented cause of fever of unknown origin with varied and nonspecific symptoms. The onset of symptoms of brucellosis may be abrupt or insidious, developing over several days to weeks. Virtually any organ system can be involved with brucellosis and localization of the process may cause focal symptoms. The most frequent focal presentation is the osteoarthicular. Some times it can complicates with paraperivertebral abscess. The unilateral psoas abscess(PA) is uncommon and the bilateral afection is exceptional. The manifestations of PA usually are insidious, the classic tiad of: feber, lumbar pain and functional impotence is rare. For the diagnosis the serologyc tests and cultures are necesary. The imagin tecniques like: Ultrasonography and Tomography have improved the diagnosis and treatment of this patologys´ complications. The recomended therapy is the use of doxycicline and streptomicine. Some times the use of percutaneus drainage or open surgery is necesary.

Keywords : Abscess; Psoas; Brucellosic; Spondylitis; Sacroileitis.

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