Isolated focal pyomyositis of teres minor: an unusual presentation of tuberculosis

Abstract

Atypical and unusual presentations of tuberculosis have become a major diagnostic problem for health professionals. We describe a 30-year-old male patient with a tuberculosis abscess in the teres minor muscle. The patient was initially misdiagnosed due to this unusual presentation and the definitive diagnosis was only made after the histological examination of the drainage material. The patient responded to the anti-tuberculosis therapy and there was no recurrence after 4 years.

Musculoskeletal Tuberculosis Presenting as Isolated Tuberculous Gumma in an Immunocompetent Patient

“…She was also an immunocompetent patient. In other previous reports, BCG vaccination was noted to be a trigger for tuberculous gumma, which was found in countries with high endemicity of tuberculosis (8,9). Considering that our patient has been living in a country with high endemicity of tuberculosis and also has been vaccinated with BCG, tuberculous gumma is a possible cause for the mass on her finger.…”

Pyomyosite tuberculeuse primitive chez une patiente immunocompétente: à propos d’un cas

“…L’âge de survenue est généralement avancé, entre 50 et 70 ans [ 7 ]. Le diagnostic clinique de la pyomyosite reste difficile, en raison d'une symptomatologie clinique non spécifique surtout à un stade précoce [ 9 ]. De ce fait, l'imagerie est d'un grand apport dans l'approche diagnostique.…”

Piomiositis tuberculosa en un paciente inmunodeprimido

“…Otras condiciones que se asocian a abscesos musculares tuberculosos son el uso crónico de corticoides, la medicación inmunosupresora (metrotexato-azatioprina), el tratamiento con infliximab, las afecciones crónicas (fibrosis pulmonar, sarcoidosis, dermatomiositis, polimiositis, artritis reumatoidea y lupus eritematoso sistémico) y el trasplante renal (13)(14)(15)(16). Existen reportes en pacientes inmunocompetentes (17,18) que ratifican que no siempre la manifestación es insidiosa y larvada, y se han observado casos de sepsis y muerte a causa de la infección, pero también, de la toxicidad de los medicamentos. En la mayoría de los casos reportados la respuesta terapéutica ha sido buena, independientemente de la infección concomitante.…”