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Unusual association of diseases/symptoms
Bilateral psoas abscesses and vertebral osteomyelitis in a patient with sickle cell disease
  1. M Asnani1,
  2. E W Williams2,
  3. S Cawich3,
  4. M Reid1,
  5. A Mansingh4,
  6. S Shah5,
  7. Jean Williams-Johnson2
  1. 1TMRI, Sickle Cell Unit, University of the West Indies, Kingston, Jamaica
  2. 2Accidents and Emergency Department, University Hospital of the West Indies, Kingston, Jamaica
  3. 3Department of Surgery, University Hospital of the West Indies, Kingston, Jamaica
  4. 4Department of Orthopedics, University Hospital of the West Indies, Kingston, Jamaica
  5. 5Department of Radiology, University Hospital of the West Indies, Kingston, Jamaica
  1. Correspondence to M Asnani, monika.parshadasnani{at}uwimona.edu.jm

Summary

The authors present a case of a patient with sickle-β thalassaemia (Sβ0 Thal) who had bilateral psoas abscesses on a background of splenectomy in early childhood. The patient also turned out to have vertebral osteomyelitis and hydronephrosis on the side of the larger abscess. The only organism recovered from the patient was a Bacteroides species. The patient was managed with percutaneous drainage and intravenous antibiotics and made a full recovery.

https://doi.org/10.1136/bcr.01.2010.2642

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.