Primary Tubercular Abscess of Thigh in an Immunocompetent Individual

Paras Kathuria, Naresh Kumar, Mukesh Kumar, Gaurav S Pradhan

Abstract


Primary tuberculous muscular abscess is a rare manifestation of musculoskeletal tuberculosis especially in an immunocompetent individual. It can cause a diagnostic dilemma for a physician or surgeon because of its presentation similar to pyogenic abscess, hematomas and soft tissue sarcomas. We present a case of a 19 year old immunocompetent boy who presented with short duration of fever and swelling in the left thigh. Investigations revealed the cause of intramuscular abscess in vastus lateralis as tuberculosis. Patient improved after antitubercular therapy.


Keywords


Tubercular abscess, Vastus lateralis, Immunocompetent, Pyomyositis.

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References


Wang JY, Lee LN, Hsueh PR et al. Tuberculous myositis: a rare but existing clinical entity. Rheumatology 2003; 42(7): 836-40.

Sen RK, Tripathy SK, Dhatt S. Primary tuberculous pyomyositis of forearm muscles. Indian Journal of Tuberculosis 2010; 57: 34-40.

Abdelwahab IF, Bianchi S, Martinoli C et al. Atypical extraspinal musculoskeletal tuberculosis in immunocompetent patients, tuberculous myositis, tuberculous bursitis, and tuberculous tenosynovites. Canadian Assoc- iation of Radiologists Journal 2006; 57: 278-86.

Modi MA, Mate AD, Nasta AM. Primary Tuberculous Pyomyositis of Quadriceps Femoris in an Immunocompetent Individual. Case Reports in Infectious Diseases 2013; 723879.

Bhatty SM, Prakash JS, John B. Primary tuberculous abscess of vastus lateralis muscle. JK Science 2011; 13(1): 37-38.

Simon SP, Fodor D, Valasciuc R et al. A rare case of primary tuberculous pyomyositis. Case report. Medical Ultrasonography 2011; 13: 245-48.

Narang S. Tuberculous pyomyositis of forearm muscles. Hand 2009; 4(1): 88-91.

Krishnasamy V, Joseph M. Tuberculous pyomyositis: A Rare but serious diagnosis. Case Report Med 2013: 126952.

Batra S, Naell MA, Barwick C et al. Tuberculous pyomyositis of the thigh masquerading as malignancy with concomitant tuberculous flexor tenosynovitis and dactylitis of the hand. Singapore Medical Journal 2007; 48: 1042-46.

Kim JY, Park YH, Choi KH. MRI of tuberculous pyomyositis. Journal of Computer Assisted Tomography 1999; 23: 454-57.


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