![](/images/graphics-bg.png)
Tuberculous Pyomyositis : A Rare but Serious Diagnosis
Joint Authors
Joseph, Matthew
Krishnasamy, Vikram P.
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-03-24
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Tuberculous pyomyositis is a rare clinical entity with serious consequences if a diagnosis is not established early.
A 53-year-old female with a past medical history of sarcoidosis and pulmonary fibrosis presented from an outside hospital with persistent fevers and a rash.
She had been hospitalized multiple times at an outside hospital without any improvement in her symptoms.
On examination, she was noted to have a large area of left upper lower extremity (LUE) tenderness with superimposed erythema.
Laboratory data revealed a white blood cell count of 22,300.
Computed tomography (CT) scans of the LUE, chest, and left lower extremity (LLE) showed multiple intramuscular abscesses in those regions without evidence of osteomyelitis.
Subsequent drainage of the abscesses and resulting cultures revealed Mycobacterium tuberculosis.
The patient was started on therapy with rifampin, isoniazid, pyrazinamide, and ethambutol.
However, the patient developed hepatitis on these agents and subsequently went into septic shock with multiorgan failure.
Care was eventually withdrawn as a result of a poor prognosis.
This case illustrates the severe consequences of TB pyomyositis if not diagnosed promptly.
While tuberculosis is uncommon in the United States, it should be an important consideration in the differential diagnosis of immunocompromised patients.
American Psychological Association (APA)
Krishnasamy, Vikram P.& Joseph, Matthew. 2013. Tuberculous Pyomyositis : A Rare but Serious Diagnosis. Case Reports in Medicine،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-447745
Modern Language Association (MLA)
Krishnasamy, Vikram P.& Joseph, Matthew. Tuberculous Pyomyositis : A Rare but Serious Diagnosis. Case Reports in Medicine No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-447745
American Medical Association (AMA)
Krishnasamy, Vikram P.& Joseph, Matthew. Tuberculous Pyomyositis : A Rare but Serious Diagnosis. Case Reports in Medicine. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-447745
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-447745