A 70-Year-Old Woman Receiving Immunosuppressive Therapy Presenting With Iliopsoas Abscess, Pulmonary Miliary Tuberculosis, and Secondary Hemophagocytic Lymphohistiocytosis

Shun Nakahara; Shunsuke Kondo; Christian John Capirig; Kazushige Shiraishi; Miho Nakamura; Osamu Hamada

doi:10.12659/AJCR.950376

25 February 2026 : Case report USA

A 70-Year-Old Woman Receiving Immunosuppressive Therapy Presenting With Iliopsoas Abscess, Pulmonary Miliary Tuberculosis, and Secondary Hemophagocytic Lymphohistiocytosis

Challenging differential diagnosis, Rare coexistence of disease or pathology

Shun Nakahara^{BE 1}, Shunsuke Kondo

^{ABEF 1*}, Christian John Capirig

^{DEF 1}, Kazushige Shiraishi^{E 1}, Miho Nakamura^{E 2}, Osamu Hamada

^{EF 3,4}

DOI: 10.12659/AJCR.950376

Am J Case Rep 2026; 27:e950376

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Figure 3 Coronal contrast-enhanced computed tomography (CT). Coronal contrast-enhanced CT demonstrated well-circumscribed fluid-density lesion with a distinctly enhancing capsule within the right iliacus muscle (thick arrow), suggesting an abscess.

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A 70-Year-Old Woman Receiving Immunosuppressive Therapy Presenting With Iliopsoas Abscess, Pulmonary Miliary Tuberculosis, and Secondary Hemophagocytic Lymphohistiocytosis

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