Severe Pott disease with multiple muscular and subcutaneous abscesses
Diagnosis almost certain
Presentation
Back pain and palpable masses.
Patient Data
Age: 20 years
Gender: Female
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Info
L1/L2 disk loss with endplate erosions and sclerosis and mild focal kyphosis. Collections (some of which are partially calcified) in the paraspinal region of lower thorax, right psoas muscle which decompresses into the posterior right flank subcutaneous tissues through a thin tract resulting in a very large collection, left psoas and iliacus muscles with extension into the left presacral space resulting is osteomyelitis. Mild bilateral striated nephrograms.
Case Discussion
Dramatic presentation of advanced Pott disease with characteristic cold abscess with partial calcifications involving the subligamentous, muscular and subcutaneous distributions and with left sacral osteomyelitis.
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