Multifocal Subcutaneous and Muscular Tuberculosis in a Young Immunocompetent Man: A Case Report and Literature Review
Due to unfavorable conditions for survival and multiplication of Mycobacterium tuberculosis, muscle and soft tissue involvement is probably the rarest form of presentation of musculoskeletal tuberculosis, particularly without a clinically or radiologically apparent primary focus. As in other extrap...
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| Format: | Article |
| Language: | English |
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Ordem dos Médicos
2020-07-01
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| Series: | Acta Médica Portuguesa |
| Subjects: | |
| Online Access: | https://actamedicaportuguesa.com/revista/index.php/amp/article/view/10706 |
| _version_ | 1828107268240965632 |
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| author | João Cabo Luís Martins Ana Tavares e Castro Fernando Maltez |
| author_facet | João Cabo Luís Martins Ana Tavares e Castro Fernando Maltez |
| author_sort | João Cabo |
| collection | DOAJ |
| description |
Due to unfavorable conditions for survival and multiplication of Mycobacterium tuberculosis, muscle and soft tissue involvement is probably the rarest form of presentation of musculoskeletal tuberculosis, particularly without a clinically or radiologically apparent primary focus. As in other extrapulmonary forms of tuberculosis, its relative incidence is higher among immunocompromised patients. A progressive swelling is the most common complaint at presentation, which is otherwise mild and nonspecific. We present a case of multifocal (seven) subcutaneous and muscular tuberculous abscesses in a 29-year-old Indian patient who had no apparent underlying risk factors, nor any other organ involvement. Provisional diagnosis was initially made upon Mycobacterium tuberculosis complex nucleic acid detection in an aspirate of one of the collections and later confirmed by a positive culture on Lowenstein-Jensen medium. Two abscesses required aspiration and two others drained spontaneously. The patient responded well to nine months of anti-tuberculous therapy. An extensive review of the literature was made.
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| first_indexed | 2024-04-11T10:28:32Z |
| format | Article |
| id | doaj.art-df57a249d67b42deb66b930a7cc8763a |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-04-11T10:28:32Z |
| publishDate | 2020-07-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-df57a249d67b42deb66b930a7cc8763a2022-12-22T04:29:31ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582020-07-01337-810.20344/amp.107064767Multifocal Subcutaneous and Muscular Tuberculosis in a Young Immunocompetent Man: A Case Report and Literature ReviewJoão Cabo0Luís Martins1Ana Tavares e Castro2Fernando Maltez3Infectious Diseases Department. Hospital de Curry Cabral. Lisboa.Pneumology Department. Hospital de Santa Maria. Lisboa.Centro de Diagnóstico Pneumológico Dr. Ribeiro Sanches. Lisboa.Infectious Diseases Department. Hospital de Curry Cabral. Lisboa. Due to unfavorable conditions for survival and multiplication of Mycobacterium tuberculosis, muscle and soft tissue involvement is probably the rarest form of presentation of musculoskeletal tuberculosis, particularly without a clinically or radiologically apparent primary focus. As in other extrapulmonary forms of tuberculosis, its relative incidence is higher among immunocompromised patients. A progressive swelling is the most common complaint at presentation, which is otherwise mild and nonspecific. We present a case of multifocal (seven) subcutaneous and muscular tuberculous abscesses in a 29-year-old Indian patient who had no apparent underlying risk factors, nor any other organ involvement. Provisional diagnosis was initially made upon Mycobacterium tuberculosis complex nucleic acid detection in an aspirate of one of the collections and later confirmed by a positive culture on Lowenstein-Jensen medium. Two abscesses required aspiration and two others drained spontaneously. The patient responded well to nine months of anti-tuberculous therapy. An extensive review of the literature was made. https://actamedicaportuguesa.com/revista/index.php/amp/article/view/10706ImmunocompetenceMuscular DiseasesMycobacterium tuberculosisPyomyositisTuberculosis |
| spellingShingle | João Cabo Luís Martins Ana Tavares e Castro Fernando Maltez Multifocal Subcutaneous and Muscular Tuberculosis in a Young Immunocompetent Man: A Case Report and Literature Review Acta Médica Portuguesa Immunocompetence Muscular Diseases Mycobacterium tuberculosis Pyomyositis Tuberculosis |
| title | Multifocal Subcutaneous and Muscular Tuberculosis in a Young Immunocompetent Man: A Case Report and Literature Review |
| title_full | Multifocal Subcutaneous and Muscular Tuberculosis in a Young Immunocompetent Man: A Case Report and Literature Review |
| title_fullStr | Multifocal Subcutaneous and Muscular Tuberculosis in a Young Immunocompetent Man: A Case Report and Literature Review |
| title_full_unstemmed | Multifocal Subcutaneous and Muscular Tuberculosis in a Young Immunocompetent Man: A Case Report and Literature Review |
| title_short | Multifocal Subcutaneous and Muscular Tuberculosis in a Young Immunocompetent Man: A Case Report and Literature Review |
| title_sort | multifocal subcutaneous and muscular tuberculosis in a young immunocompetent man a case report and literature review |
| topic | Immunocompetence Muscular Diseases Mycobacterium tuberculosis Pyomyositis Tuberculosis |
| url | https://actamedicaportuguesa.com/revista/index.php/amp/article/view/10706 |
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