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
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Infliximab 유도요법 중 크론병에 합병된 장요근 농양 1예 |
정승규, 이창균, 이경환, 손범석, 김덕수, 김선주, 강길호 |
순천향대학교 천안병원 내과학교실, 외과학교실 |
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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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