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內 容 摘 要 ( 續 ):1. poor family support and self care may precipitate the disease processof this patient2. We often focused on the visible problem (amputation wound pain) ratherthan other potential but possible more life-threatening problem(psoas muscle and pre-vertebral abscess)3. Is early surgical intervention will alter the prognosis of thispatient or not?1. Vancomycin, fluoroquinolone or carbapenem may be choice ofantibiotics treatment in psaos muscle abscess2. Do not use sciatica routinely to explain low back pain complaint3. K.pneumonia is important pathogen in DM patients in Taiwan1. The age of patient will determine thinking process in low back paindifferential diagnosis2. ED physician should decide the most adequate disposition for patient3. hematogeneous spread may explain the concomitant pre-vertebral andpsoas muscle abscess of this patient1. remember to collect urine sample for hypokalemia survey BEFORE youstarting to correct it2. keep psoas muscle abscess in mind when unexplained low back pain andfever3. Try to use a single disease process to explain the whole symptoms andsings in a patient記 錄 R4 徐 英 洲新 光 吳 火 獅 紀 念 醫 院