Tuberculous iliopsoas abscess in a HIV-positive fеmale patient
- Elenkov, T. Tomov, P. Stefanov, M. Yankova, N. Yancheva,D. Strashimirov1, p. Genov, S. Dineva, I. Alexiev, M. Nikolova, D. Beshkov, T. Tcherveniakova
Patients with HIV can often present a diagnostic challenge and may have atypical presentations of more common diseases. This case demonstrates а HIV (+) patient with an advanced immunosuppreession with tuberculosis complaining about 2 months before admission to the hospital of backache, anorexia and weight loss. On investigation she was found to have unilateral tuberculous psoas abscesses, diagnosed microbiologically and with a CT scan. Complex treatment (surgical, tuberculostatics, antiretroviral) was performed with a good effect. A review of the literature shows that this is a rare presentation of an already unusual problem, with subtle signs requiring a high index of clinical suspicion. However, with HIV-positive patients more likely to present with extrapulmonary tuberculosis, there is need for increased awareness of this diagnosis.
Key words: HIV.TUBERCULOUSpSOAS ABSCESS