Anales de Medicina Interna
versión impresa ISSN 0212-7199
GARCIA HERNANDEZ, F. J. et al. Iliopsoas abscess and systemic lupus erythematosus. An. Med. Interna (Madrid) [online]. 2003, vol.20, n.4, pp.42-44. ISSN 0212-7199.
Iliopsoas muscle abscess (IPA) is an uncommon condition, and it is usually associated with immunosupression. Three out of a cohort of 552 patients diagnosed of systemic lupus erythematosus (SLE) developing an IPA, are reported herein. Patients showed fever and other symptons related to SLE. They improved only partially under SLE therapy, and showed pain suggestive of IPA. It was confirmed by CT in all cases. S. aureus was isolated in one patient (primary IPA), and M. tuberculosis in the others. Specific antimicrobial therapy and surgical drainage were required. In summary, SLE might be considered as a risk condition for the development of IPA, due to the immunosupression inherent in the disease and its treatment.
Palabras clave : Systemic lupus erythematosus; Iliopsoas muscle abscess; Immunosupression.