Tags

Type your tag names separated by a space and hit enter

[Lumbar panniculitis with subcutaneous abscess revealing pyonephrosis].
Ann Dermatol Venereol. 2009 Oct; 136(10):727-9.AD

Abstract

BACKGROUND

A clinical picture of hypodermitis in the lumbar region may reveal an abscess arising from infection due to pyonephrosis. We report a case below.

CASE REPORT

A 58 year-old woman consulted for an area of inflammation in the left lumbar region that had been present for two months. The area of inflammation appeared two days after physiotherapy sessions prescribed for lower back pain. Laboratory examinations revealed inflammation associated with moderate renal failure. A skin biopsy sample taken from around the inflamed area showed septal hypodermitis. Ultrasound examination revealed a pocket of liquid measuring 7 x 2 x 2 cm; Proteus mirabilis was isolated following ultrasound-guided needle aspiration,. Magnetic resonance imaging (MRI) and uroscan revealed pyonephrosis with suffusion into the hypodermis and left lumbar fossa.

DISCUSSION

This was a case of bacterial hypodermitis with abscesses secondary to pyonephrosis. Pyonephrosis may be transferred to the skin, causing fistulas and subcutaneous pus collection. In such rare and potentially misleading clinical settings, the diagnosis can be established by imaging.

Authors+Show Affiliations

Service de dermatologie, CHU Purpan, université Paul-Sabatier, place du Dr Baylac, Toulouse, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

fre

PubMed ID

19801259

Citation

Pauwels, C, et al. "[Lumbar Panniculitis With Subcutaneous Abscess Revealing Pyonephrosis]." Annales De Dermatologie Et De Venereologie, vol. 136, no. 10, 2009, pp. 727-9.
Pauwels C, Bulai-Livideanu C, Chiavassa H, et al. [Lumbar panniculitis with subcutaneous abscess revealing pyonephrosis]. Ann Dermatol Venereol. 2009;136(10):727-9.
Pauwels, C., Bulai-Livideanu, C., Chiavassa, H., Lamant, L., Carrié, D., Sorbara, A. M., Huyghe, E., & Paul, C. (2009). [Lumbar panniculitis with subcutaneous abscess revealing pyonephrosis]. Annales De Dermatologie Et De Venereologie, 136(10), 727-9. https://doi.org/10.1016/j.annder.2009.02.006
Pauwels C, et al. [Lumbar Panniculitis With Subcutaneous Abscess Revealing Pyonephrosis]. Ann Dermatol Venereol. 2009;136(10):727-9. PubMed PMID: 19801259.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Lumbar panniculitis with subcutaneous abscess revealing pyonephrosis]. AU - Pauwels,C, AU - Bulai-Livideanu,C, AU - Chiavassa,H, AU - Lamant,L, AU - Carrié,D, AU - Sorbara,A-M, AU - Huyghe,E, AU - Paul,C, Y1 - 2009/06/09/ PY - 2008/10/22/received PY - 2009/02/20/accepted PY - 2009/10/6/entrez PY - 2009/10/6/pubmed PY - 2009/12/16/medline SP - 727 EP - 9 JF - Annales de dermatologie et de venereologie JO - Ann Dermatol Venereol VL - 136 IS - 10 N2 - BACKGROUND: A clinical picture of hypodermitis in the lumbar region may reveal an abscess arising from infection due to pyonephrosis. We report a case below. CASE REPORT: A 58 year-old woman consulted for an area of inflammation in the left lumbar region that had been present for two months. The area of inflammation appeared two days after physiotherapy sessions prescribed for lower back pain. Laboratory examinations revealed inflammation associated with moderate renal failure. A skin biopsy sample taken from around the inflamed area showed septal hypodermitis. Ultrasound examination revealed a pocket of liquid measuring 7 x 2 x 2 cm; Proteus mirabilis was isolated following ultrasound-guided needle aspiration,. Magnetic resonance imaging (MRI) and uroscan revealed pyonephrosis with suffusion into the hypodermis and left lumbar fossa. DISCUSSION: This was a case of bacterial hypodermitis with abscesses secondary to pyonephrosis. Pyonephrosis may be transferred to the skin, causing fistulas and subcutaneous pus collection. In such rare and potentially misleading clinical settings, the diagnosis can be established by imaging. SN - 0151-9638 UR - https://www.unboundmedicine.com/medline/citation/19801259/[Lumbar_panniculitis_with_subcutaneous_abscess_revealing_pyonephrosis]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0151-9638(09)00261-0 DB - PRIME DP - Unbound Medicine ER -