{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T23:22:45Z","timestamp":1793748165229,"version":"4.6.1"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,5,18]],"date-time":"2022-05-18T00:00:00Z","timestamp":1652832000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,5,18]],"date-time":"2022-05-18T00:00:00Z","timestamp":1652832000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Primary psoas tuberculosis is the presence of \u201cKoch\u2019s bacillus\u2019\u2019 within the iliopsoas muscle caused by hematogenous or lymphatic seeding from a distant site. Muscular tuberculosis has relatively low prevalence in comparison with other cases of extrapulmonary tuberculosis, which explains the difficulties in establishing the diagnosis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>In this report, we present a challenging diagnostic case of primary psoas tuberculosis in a 38-year-old middle eastern female from southern Syria. The diagnosis was based on the clinical orientation, the observation of pulmonary lesions on the computed tomography scan, and the necrotic signs in the vicinity of the infected area. Despite the misleading primary false-negative results, the final diagnosis was reached after sufficient repetition of tuberculosis-specific testing. The patient was treated with isoniazid\u2013rifampin\u2013pyrazinamide\u2013ethambutol for 2 months, then isoniazid and rifampin for 7 months, with full recovery in follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This case highlights the importance of a clinical-based approach in the treatment of patients with psoas abscesses, especially in areas with high tuberculosis prevalence.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-022-03417-4","type":"journal-article","created":{"date-parts":[[2022,5,17]],"date-time":"2022-05-17T23:02:42Z","timestamp":1652828562000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Primary psoas tuberculosis abscess with an iliac bone lytic lesion: a case report"],"prefix":"10.1186","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6506-0851","authenticated-orcid":false,"given":"Abdul Fattah","family":"Mohandes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bahjat","family":"Karam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Alrstom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lugien","family":"Alasadi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad wahid","family":"Rajab Bek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nizar","family":"Daher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamim","family":"Alsuliman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raed","family":"Abouhareb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,5,18]]},"reference":[{"key":"3417_CR1","doi-asserted-by":"publisher","first-page":"459","DOI":"10.1136\/pgmj.2003.017665","volume":"80","author":"IH Mallick","year":"2004","unstructured":"Mallick IH. Iliopsoas abscesses. Postgrad Med J. 2004;80:459\u201362.","journal-title":"Postgrad Med J"},{"key":"3417_CR2","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2012-006846","author":"K Whitehouse","year":"2012","unstructured":"Whitehouse K, Horne S, Gay D. Psoas abscess secondary to haematoma after a fall causing multiple osteoporotic fractures. Case Rep. 2012. https:\/\/doi.org\/10.1136\/bcr-2012-006846.","journal-title":"Case Rep"},{"key":"3417_CR3","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1111\/j.1463-1318.2006.01135.x","volume":"9","author":"JP Garner","year":"2007","unstructured":"Garner JP, Meiring PD, Ravi K, Gupta R. Psoas abscess? Not as rare as we think? Colorect Dis. 2007;9:269\u201374.","journal-title":"Colorect Dis"},{"key":"3417_CR4","doi-asserted-by":"publisher","first-page":"405","DOI":"10.4184\/asj.2017.11.3.405","volume":"11","author":"MFG Held","year":"2017","unstructured":"Held MFG, Hoppe S, Laubscher M, Mears S, Dix-Peek S, Zar HJ, et al. Epidemiology of musculoskeletal tuberculosis in an area with high disease prevalence. Asian Spine J. 2017;11:405\u201311.","journal-title":"Asian Spine J"},{"key":"3417_CR5","doi-asserted-by":"publisher","first-page":"159","DOI":"10.29333\/ejgm\/82486","volume":"9","author":"N Alt\u0131nta\u015f","year":"2012","unstructured":"Alt\u0131nta\u015f N, T\u00fcrkeli S, Y\u0131lmaz Y, Sar\u0131ayd\u0131n M, Ya\u015fayancan N. A rare case of tuberculosis psoas abscess. Electron J Gen Med. 2012;9:159\u201361.","journal-title":"Electron J Gen Med"},{"key":"3417_CR6","first-page":"83","volume":"4","author":"JB Strauss","year":"2012","unstructured":"Strauss JB, Shah AP, Chen SS, Gielda BT, Kim AW. Psoas muscle metastases in non-small cell lung cancer. J Thorac Dis. 2012;4:83\u20137.","journal-title":"J Thorac Dis"},{"key":"3417_CR7","doi-asserted-by":"publisher","DOI":"10.7860\/JCDR\/2015\/12422.5792","author":"M Purohit","year":"2015","unstructured":"Purohit M. 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Indian Journal of Tuberculosis. 2020;67:43\u20135.","journal-title":"Indian Journal of Tuberculosis"},{"key":"3417_CR10","doi-asserted-by":"publisher","DOI":"10.21276\/ijcmr.2020.7.7.13","author":"P A\u00e7ar","year":"2020","unstructured":"A\u00e7ar P, Ziyadanoglu P, Kula AC, Atao\u011flu HE. Isolated psoas abscess due to Mycobacterium tuberculosis. IJCMR. 2020. https:\/\/doi.org\/10.21276\/ijcmr.2020.7.7.13.","journal-title":"IJCMR"},{"key":"3417_CR11","unstructured":"Global Tuberculosis Reports. https:\/\/www.who.int\/teams\/global-tuberculosis-programme\/tb-reports. Accessed 11 Apr 2022."},{"key":"3417_CR12","doi-asserted-by":"publisher","first-page":"542","DOI":"10.1186\/s12891-021-04426-y","volume":"22","author":"M Ozdemir","year":"2021","unstructured":"Ozdemir M, Ozdemir HG. Evaluation of patients admitted with musculoskeletal tuberculosis: sixteen years\u2019 experience from a single center in Turkey. 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A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"209"}}