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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References

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Published

2024-06-14

How to Cite

1.
Silva AC da, Rio RC do, Garcia Nuñez V, Oliveira VSD de, Anastácio DC, Almeida YC de S. Tuberculous pyomyositis. IeE [Internet]. 2024 Jun. 14 [cited 2026 May 1];3:e20240442. Available from: https://infectionsinevidence.org/index.php/journal/article/view/35

Issue

Vol. 3 (2024)

Section

Case Reports

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