An unusual clinical presentation of tuberculous pyomyositis in a renal allograft recipient

Tuberculous pyomyositis of upper and lower limb muscles-A prospective study

“…10 There are many case reports in literature supporting this evidence like a case report presented by Siao-pin Simon et al reported a 66 year old female patient on immunodepressent therapy presents with tuberculous pyomyositis of her right thigh muscle; 11 and by Pradeep Khandalvalli et al presented a case report in 2019 of an immuno-compromised patients, a 35 year old female renal allograft recipient presented with multiple subcutaneous abscess involving left forearm, left thigh, suture site and left loin, which on later evaluation revealed to be due to Mycobacterium tuberculae. 12 Tuberculous pyomyositis can develop in immunocompetent persons, with the common symptoms of Mycobacterium tuberculae infection such as evening rise of temperature, night sweats, malaise, loss of appetite, and weight loss. 13 The diagnosis of tuberculous pyomyositis is still mostly based on clinical suspicion such as its insidious onset, slow progression, non-responsiveness to various antibiotics, and by its responsiveness to anti-tubercular chemotherapy retrospectively, as described in literature but many times only a vague swelling of long duration is the only presentation.…”