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- W4293078066 abstract "Abstract Objective In patients with ankylosing spondylitis (AS) who develops sudden and severe low back pain, serious causes such as infections, spinal instability, and vertebral fractures should be evaluated in the differential diagnosis. Methods A 34-year-old male patient with AS, who was previously followed in remission, presented with severe low back pain and limping. He had bilateral sacroiliitis on magnetic resonance imaging (MRI) taken at another center recently on his admission. Visual analog scale score was 10 and Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score was 9,6. In laboratory evaluation, C-reactive protein (CRP) level was 13 mg/dl and leukocyte count was 17,000/uL. After blood and urine cultures, tuberculosis and brucella tests were taken, prophylactic antibiotic treatment was given. In MRI, a multiloculated abscess formation which starts from the left S1 level and extends along the posterior of the iliopsoas muscle and presses on the bladder and prostate was observed. Percutaneous abscess drainage was performed under the guidance of computed tomography (CT). Results There was a rapid improvement in pain scores and acute phase reactants following abscess drainage. After 2 weeks, a significant regression of abscess formation was seen in the control CT evaluation. Conclusion Red flags should be checked in patients with AS who have severe low back pain unresponsive to routine treatment and other causes of low back pain should not be ignored." @default.
- W4293078066 created "2022-08-26" @default.
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- W4293078066 date "2022-06-08" @default.
- W4293078066 modified "2023-10-06" @default.
- W4293078066 title "Psoas abscess mimicking sacroiliitis in a patient with ankylosing spondylitis: a case report" @default.
- W4293078066 doi "https://doi.org/10.21203/rs.3.rs-1366602/v1" @default.
- W4293078066 hasPublicationYear "2022" @default.
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