Intest Res.  2009 Dec;7(2):118-122.

A Case of Iliopsoas Abscess Complicating Active Crohn's Disease during Infliximab Induction Treatment

• Chung SK
• Lee CK
• Lee KH
• Son BS
• Kim DS
• Kim SJ
• Kang KH

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.

Keyword

Crohn Disease; Psoas Abscess; Infliximab

MeSH Terms

Anti-Bacterial Agents
Antibodies, Monoclonal
Contracture
Crohn Disease
Drainage
Gait
Humans
Infliximab
Psoas Abscess
Sacroiliac Joint
Young Adult
Anti-Bacterial Agents
Antibodies, Monoclonal