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Intestinal Research 2009;7(2):118-122.
Published online December 30, 2009.
A Case of Iliopsoas Abscess Complicating Active Crohn's Disease during Infliximab Induction Treatment
Seung Kyu Chung, Chang Kyun Lee, Kyoung-Hwan Lee, Bum-Suk Son, Duk-Su Kim, Sun-Joo Kim, Kil-Ho Kang
Departments of Internal Medicine and Surgery, Soon Chun Hyang University College of Medicine, Cheonan Hospital, Cheonan, Korea
Infliximab 유도요법 중 크론병에 합병된 장요근 농양 1예
정승규, 이창균, 이경환, 손범석, 김덕수, 김선주, 강길호
순천향대학교 천안병원 내과학교실, 외과학교실
Abstract
Psoas abscesses are rare clinical entities complicating Crohn's disease (CD). However, psoas abscesses can cause poor outcomes because the diagnosis is frequently delayed due to the non-specific clinical features. Recently, we managed a case of a huge iliopsoas abscess in a 21-year-old man with a 4-year history of CD who presented with a limping gait and flexion contractures of the sacroiliac joint. Notably, the iliopsoas abscess developed during induction treatment with infliximab. The patient was successfully treated with antibiotics, surgical drainage, and a right hemicolectomy. Herein we present the case with a brief review of the literature. (Intest Res 2009;7:118-122)
Key Words: Crohn Disease, Psoas Abscess, Infliximab
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