Tuberculous pyomyositis

Authors

  • Abimael Coutinho da Silva Instituto de Infectologia Emílio Ribas, Infectologia - São Paulo - SP - Brasil.
  • Rodrigo Contrera do Rio Instituto de Infectologia Emílio Ribas, Infectologia - São Paulo - SP - Brasil.
  • Victor Garcia Nuñez Instituto de Infectologia Emílio Ribas, Infectologia - São Paulo - SP - Brasil.
  • Victória Spinola Duarte de Oliveira Instituto de Infectologia Emílio Ribas, Infectologia - São Paulo - SP - Brasil.
  • Daniela Costa Anastácio Instituto de Infectologia Emílio Ribas, Infectologia - São Paulo - SP - Brasil.
  • Yago Caetano de Sousa Almeida Instituto de Infectologia Emílio Ribas, Infectologia - São Paulo - SP - Brasil.

DOI:

https://doi.org/10.5935/2764-734X.e20240442

Keywords:

Tuberculosis Extrapulmonary;, Pyomyositis, Abscess, Diabetes Mellitus, Case report.

Abstract

Musculoskeletal tuberculosis is a rare form of extrapulmonary manifestation of the disease, with few reports in the medical literature. This makes it difficult to diagnose and manage promptly. We report the case of a patient with tuberculous pyomyositis in multiple muscle groups whose only previous pathology was controlled type II diabetes mellitus. The diagnosis was established by performing a rapid molecular test (GeneXpert Mtbc/RIF®) on purulent material collected by aspiration puncture of the dorsal vertebral body. The patient underwent drug treatment for tuberculosis with a regimen of rifampicin, isoniazid, pyrazinamide, and ethambutol (RHZE) for 2 months in an intensive phase, followed by maintenance with rifampicin and isoniazid for another 10 months, with complete resolution of the collections.

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Published

2024-06-14

How to Cite

Silva, A. C. da, Rio, R. C. do, Garcia Nuñez, V., Oliveira, V. S. D. de, Anastácio, D. C., & Almeida, Y. C. de S. (2024). Tuberculous pyomyositis. Infections in Evidence, 3, e20240442. https://doi.org/10.5935/2764-734X.e20240442

Issue

Vol. 3 (2024)

Section

Case Reports

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