Isolated Tuberculosis of a Skeletal Muscle

Ashworth, Mark; Meadows, TH

doi:10.1016/0266-7681(92)90099-n

Cited by 16 publications

(4 citation statements)

References 1 publication

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“…These lesions may first be aspirated and cultured and treated with anti-tubercular drugs. The surgical option may be reserved for the following scenarios: (a) painful masses, rapidly enlarging, acting like space-occupying lesions and causing jeopardization of other functional structures in the vicinity (compartment-syndrome like situation) [11]; (b) recurrence after aspiration or debridement [5]; (c) immunocompromised state, where the bacterial load is high; (d) associated with bony destruction or sequestrum formation [12]; (e) doubtful diagnosis [3]; (f) non-responsiveness to antitubercular drugs despite culture being positive for M. tuberculosis; and (g) failed aspiration of the abscess and thereby lack of "effective" drainage.…”

Section: Discussionmentioning

confidence: 99%

Tuberculous Pyomyositis of Forearm Muscles

Narang¹

2008

Hand (New York, N,Y.)

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Tuberculous pyomyositis is a rare entity reported in literature. The presented case reports the occurrence of such a lesion in forearm muscles, without any bony involvement. The ambiguity in its diagnosis led to inadequate management by the primary care physician. Clinical suspicion, positive tuberculin test, culture of acidfast bacilli, 'effective drainage', and timely anti-tubercular chemotherapy ultimately resulted in a good clinical recovery. This case has been presented to increase the awareness about the existence of such an entity in clinical practice, thereby influencing its workup and the possible modes of management.

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Section: Discussionmentioning

confidence: 99%

Tuberculous Pyomyositis of Forearm Muscles

Narang¹

2008

Hand (New York, N,Y.)

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“…We analyzed data from 58 literature cases identified from the systematic review and 11 survey cases identified from the multicenter study. Through a systematic literature search that was guided by the PRISMA guideline, we identified 52 articles (58 cases; Figure 1 ); six articles were case-series, and the rest were all case reports [ 7 , 12 - 62 ]. The quality assessment tool presented good correlation.…”

Section: Resultsmentioning

confidence: 99%

Isolated Tuberculous Myositis: A Systematic Review and Multicenter Cases

et al. 2022

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Objective To investigate the clinical features and associated underlying conditions of isolated tuberculous myositis (ITBM), a rare extrapulmonary tuberculosis (TB). Methods A systematic literature search and a multicenter survey were performed using a triangulation strategy. Data from the identified ITBM cases were extracted and analyzed to determine the underlying conditions, clinical presentations, treatments, and outcomes. Results Based on the systematic review, we identified 58 ITBM, including 9 pediatric, cases in the literature published from 1981 to 2021 25 (43.1%) immunocompromised and 33 (56.9%) non-immunocompromised patients. Immunocompromised cases had a significant shorter symptom duration (median 30.0 vs. 75.0 days) and a higher prevalence of multilocular involvement (20.8% vs. 0%). Among 24 immunocompromised adult patients, dermatomyositis/polymyositis (DM/PM; n=10, 41.7%) were the most common underlying diseases in adults with ITBM identified in the systematic review. Over the past 20 years, 11 Korean adults with ITBM were identified in the multicenter survey. Of 7 immunocompromised cases, two (28.6%) were DM/PM patients. TB death rate of immunocompromised patients was 0.0% and 5/23 (21.7%) in the pediatric and adult ITBM cases identified in the systematic review, respectively, and 3/7 (42.9%) in survey-identified ITBM cases. Conclusion ITBM has a unique clinical presentation including fever, tenderness, local swelling, overlying erythema, abscess formation and was associated with a grave outcome, especially in immunocompromised hosts. DM/PM was a highly prevalent underlying disease in both systematic review-identified and survey-identified immunocompromised ITBM patients.

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“…That is why we had advised for all patients FNAC and aspiration, and in some cases histopathological evaluation was done in which AFB staining failed to demonstrate acid fast bacilli. 15 On hematological evaluation laboratory parameters in patients with tuberculous pyomyositis may include low haemoglobin, leukocytosis, an elevated erythrocyte sedimentation rate (ESR), and elevated creatine phosphokinase (CPK) levels, though none of these is specific to this particular diagnosis and none are seen in each case. 16 Imaging modalities such as ultrasonography (USG), computed tomography scan (CT scan), and MRI is important in diagnosing pyomyositis.…”

Section: Discussionmentioning

confidence: 99%

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

Ahmad¹,

Shrivastava²,

Ayaz³

et al. 2020

IJOR

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Evaluation and management of Tuberculous Pyomyositis, a rare manifestation of Mycobacterium tuberculae. Materials and Methods: All the patients who had visited the orthopaedic OPD at Mahamaya Rajkiya Allopathic Medical College Ambedkar Nagar during the period from March 2012 to March 2019 and diagnosis supported by radiological evaluation by MRI/USG and established by acid fast staining/ histopathological evaluation of aspirate/biopsy of involved muscle. Results: Depends upon their clinical presentation initially 28 cases were suspected among which 16 cases (57.10%) found positive for tuberculous pyomyositis. Two patients were lost during follow up so finally there were 14 cases (50%) included in this study. Among 14 cases, 7 cases (50%) were female and 7 cases (50%) male. The age of patients varied from 9 year to 68 year and the duration of illness on presentation from 2 months to 12 months. The routes of infection were hematogenous in 11 cases (78.57%) and penetrating injury in 3 cases (21.42%). All cases were managed with anti tubercular drugs as per guideline, and surgery also needed in 8 cases (72.72%). Conclusion: Isolated presentation of tuberculosis as pyomyositis is rare and not widely reported in the literature. Tuberculous pyomyositis should be considered in long standing vague swelling of the upper and lower limb without constitutional symptoms and signs of inflammations. Thus it is our recommendation is to establish the diagnosis of tubercular pyomyositis followed by anti tubercular treatment; and in selected cases surgical drainage and debridement along with ATT.

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Isolated Tuberculosis of a Skeletal Muscle

Abstract: A case is described of tuberculosis in the muscle belly of abductor pollicis longus in a 25-year-old Asian woman. The complaint was of swelling and, as there was no evidence of tuberculosis elsewhere, the diagnosis was not made until the lump was explored surgically.

Cited by 16 publications

References 1 publication

Tuberculous Pyomyositis of Forearm Muscles

Tuberculous Pyomyositis of Forearm Muscles

Isolated Tuberculous Myositis: A Systematic Review and Multicenter Cases

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

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