요추 추간판 탈출증환자에서 동반된 장요근 화농근육염 -증례보고-

Iliopsoas Pyomyositis Overlaping the Herniated Intervertebral Lumbar Disc Symptom -A case report-

  • 이은경 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 손윤숙 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 조현숙 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 강준구 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 김대영 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 이상묵 (가톨릭대학교 의과대학 마취통증의학교실)
  • Lee, Eun Kyeng (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine) ;
  • Son, Youn Sook (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine) ;
  • Joe, Hyun Sook (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine) ;
  • Kang, Jun Ku (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Dae Young (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine) ;
  • Lee, Sang Mook (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine)
  • 투고 : 2006.05.19
  • 심사 : 2006.11.28
  • 발행 : 2006.12.30

초록

The diagnosis of pyomyositis in the pelvic region is difficult, as its incidence is relatively, with symptoms that mimic those of discogenic pain. Sciatica is a common presentation of a prolapsed lumbar disc. Less common causes, such as spinal stenosis, pelvic tumors or even primary nerve tumors can also cause these symptoms. Magnetic resonance imaging (MRI) is a useful diagnostic tool. Herein, the case of a patient with an acute pyogenic infection in the iliopsoas muscle, presenting with sciatica, is reported. This is a rare infective disease, which if promptly treated with intravenous antibiotics, can be completely resolved; otherwise, it can result in deep abscess formation, sepsis and death.

키워드

참고문헌

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