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Doctor insights on: Psoas Abscess Treatment

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My wife is 29 & is diagnosed with koch's spine with (lt) psoas abscess, paraplegia/bladder affection. She's under treatment. Will she be cured?

My wife is 29 & is diagnosed with koch's spine with (lt) psoas abscess, paraplegia/bladder affection. She's under treatment. Will she be cured?

Koch's disease: This is tuberculosis affecting the spinal column. It can obvious extend to areas adjacent to the spinal segment (s) involved such as the psoas muscle, and can also cause interruption of nervous pathways resulting in paralysis. She will probably be cured of tuberculosis, but to what degree her neurologic impairment will reverse is very problematic and will require much time and patience.

Dr. Theodore Davantzis
2,512 Doctors shared insights

Abscess (Definition)

Occurs when one has an infection in a part of their body, and the infection is being surrounded and fought off by white blood cells, causing a lump of purulent whitish thick material (pus) ...Read more


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Apart from treatment & medication, does high protein intake enhance the recovery process of patients suffering from koch's spine & psoas abscess?

Apart from treatment & medication, does high protein intake enhance the recovery process of patients suffering from koch's spine & psoas abscess?

I think it dose: A high-protein diet is recommended by many medical professionals for healing wounds or burns, because protein helps repair the body's organs and tissues. Lack of protein may decrease a person's immune system and his ability to heal from sickness and injuries. Eating a diet rich in protein from natural sources, and possibly from supplementation, may speed healing and decrease recovery time.

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What could cause psoas abscess?

What could cause psoas abscess?

Infection elsewhere: Used to be TB was major factor. Now it is more from appendicitis, kidney infection, diverticulitis, spine infection.

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Is it possible for a psoas abscess to return?

Is it possible for a psoas abscess to return?

Yes: If it is inadequately drained or if ineffective antibiotics are used or if antibiotics are stopped too soon a psoas abscess can recur. These are frequently associated with discitis and vertebral osteomyelitis which if not adequately treated can lead to recurrence of the psoas abscess.

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Can a psoas bursitis MRI be mistaken for a psoas abscess?

Can a psoas bursitis MRI be mistaken for a psoas abscess?

Yes: This can happen - additional imaging techniques can be used - this includes adding infusion or dye studies. Also needle guided asoiration can be used to supplement diagnostic testing.

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Is psoas abscess completely curable? If yes, what is the time period?

Depends: Psoas abscesses seldom occur as primary lesions. They are a result of some other underlying infectious process. Time to cure is dependent on eradication of the primary problem, the nature of the organism involved and the type of therapy given. It is curable, but suggest strongly that you be seen by an infectious diseases consultant.

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If detected at an early stage, can koch's spine with psoas abscess be cured only with medication (without surgery)?

If detected at an early stage, can koch's spine with psoas abscess be cured only with medication (without surgery)?

Let me explain: When talking early stages it is possible to cure this problem, whenever there is abscess we have to drain the abscess some time you could do that under cat can guidance if there are no bone destruction things will be fine, if there is bone destruction you have to clean that out by the way of surgery.

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What is the treatment for anorectal abscess?

What is the treatment for anorectal abscess?

Abcess have to be: Drianed and treated with the proper antibiotic.

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What is the treatment for tonsilar abscess?

What is the treatment for tonsilar abscess?

Drainage and meds: Usually we drain the abscess with with a needle or incise it with a blade under local anesthesia. Then we treat with antibiotics and sometimes steroids.

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What is the treatment for a peritonsillar abscess?

What is the treatment for a peritonsillar abscess?

Usually drainage: Early abscess may respond to antibiotics and steroids but usually require drainage.

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Periodontal abscess how long can I leave it before treatment?

Periodontal abscess how long can I leave it before treatment?

Abcess: If it is a periodontal abcess....You should have gone to the periodontist yesterday.....Any abcess in the mouth must be seen right away.

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When does an abscess in the cheek require immediate emergency treatment?

When does an abscess in the cheek require immediate emergency treatment?

Always!: A dental access that has spread to the cheek is an indication of a severe infection and requires immediate attention. If you can not get to an oral surgeon then go to the emergency room. This type of infection can spread to the eye and the brian and if left untreated can be fatal.

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What is the role of different anti-biotic in treatment of gluteal abscess?

What is the role of different anti-biotic in treatment of gluteal abscess?

Antibiotic choices: When treating an abscess -one has to consider 'what' germs might be there, then make the appropriate selection for therapy. Sometimes it's more than just antibiotics (such as incision). One has to consider patient allergies, drug interactions, dosing/length of therapy etc. It's nice to have a culture of the abscess material, but sometimes a best guess will do. I like trimethoprim-sulfa. See MD.

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My 22 yr old is recovering from an infected abscess psoas how long will it take for her to be pain free?

Psoas abscess: This depends upon the organism causing the abscess, the location of the primary infection leading to the abscess and other factors. Often this begins from a spinal or paraspinous infection and these can be very painful. Talk to her doctors.

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I had a abscess surgically removed from my buttocks. The wound is 4cm in width and approximately 3 CM deep. What is the best treatment?

I had a abscess surgically removed from my buttocks. The wound is 4cm in width and approximately 3 CM deep. What is the best treatment?

Packing: Wounds like this are typically treated with packing and healing by secondary intent. Oral antibiotics are often used but the wound must not be closed and be allowed to heal from inside to outside in this manner.

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What is the treatment for liver abscess?

What is the treatment for liver abscess?

It depend on the: Abcess and were is located, some time we use surgery some we treat with antbiotics.

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What is treatment for lung abscess?

What is treatment for lung abscess?

Antibiotics drainage: If a lung abscess is outside of the lung between the lung and chest wall it is called an empyema and needs to be drained using a tube or surgical drainage culture and appropriate antibiotics. Lung abscess inside the lung are usually treated with antibiotics and specimens for cultures need to be collected. Full medical workup is needed to find out underlying causes as well.