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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
 
BMJ Case Rep. 2010; 2010: bcr0120102642.
Published online Sep 21, 2010. doi:  10.1136/bcr.01.2010.2642
PMCID: PMC3030285
Unusual association of diseases/symptoms
Bilateral psoas abscesses and vertebral osteomyelitis in a patient with sickle cell disease
M Asnani,1 E W Williams,2 S Cawich,3 M Reid,1 A Mansingh,4 S Shah,5 and Jean Williams-Johnson2
1TMRI, Sickle Cell Unit, University of the West Indies, Kingston, Jamaica
2Accidents and Emergency Department, University Hospital of the West Indies, Kingston, Jamaica
3Department of Surgery, University Hospital of the West Indies, Kingston, Jamaica
4Department of Orthopedics, University Hospital of the West Indies, Kingston, Jamaica
5Department of Radiology, University Hospital of the West Indies, Kingston, Jamaica
Correspondence to M Asnani, monika.parshadasnani/at/uwimona.edu.jm
Abstract
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.
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