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Rheumatology 2000; 39: 1290-1292
© 2000 British Society for Rheumatology

Letters to the Editor

Aseptic psoas pyomyositis and erosive discitis in a case of calcium pyrophosphate crystal deposition disease

J. Dudler, R.-F. Stucki and J.-C. Gerster

Service de Rhumatologie, Médecine Physique et Réhabilitation, Centre Hospitalier Universitaire Vaudois, CHUV 1011 Lausanne, Switzerland

The first 10% of the full text of this article appears below.

SIR, Iliopsoas abscess and pyomyositis are rare clinical entities. Except for a few cases of carcinoma or focal myositis mimicking abscesses [1, 2], they are infectious. The concurrence of spondylodiscitis and bilateral psoas abscesses is virtually pathognomonic of an infectious process, Staphylococcus, Brucella and Mycobacterium tuberculosis being the most likely organisms. We report a case of calcium pyrophosphate crystal deposition (CPPD) disease presenting with erosive spondylodiscitis associated with an aseptic inflammatory reaction of both psoas muscles which mimicked such an infectious process.

A 76-yr-old woman was admitted for exacerbation of chronic low back pain with leg weakness and repetitive falls. There was a history of diabetes with discrete polyneuropathy, chronic venous insufficiency, hypertension and mild chronic renal insufficiency. She had CPPD disease with radiological chondrocalcinosis at the wrists, knees . . . [Full Text of this Article]


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