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Case ReportOpen Access
Tuberculous Pyomyositis
AJANEE MAHAKKANUKRAUH, MD*,
RA TANA V ADEE NANAGARA, MD*
Tuberculosis, caused by
Mycobacterium tuberculosis
is a common infection both in immuno-
compromised and normal hosts. Its clinical manifestation can by divided as pulmonary and extrapulmo-
nary form. Pyomyositis caused by
M. tuberculosis
is extremely rare. The authors report 2 patients, one
with underlying dermatomyositis, and the other with polymyositis. The diagnosis was delayed accord-
ing to nonspecific symptoms and masking effect of steroid therapy, which led to complications. Micro-
scopy and culture of the pus confirmed the diagnosis. Surgical drainage was done and antituberculous
therapy was given. The patient with dermatomyositis was complicated by drug induced hepatitis and
died but the other was cured. Tuberculous pyomyositis should be considered in patients who are
immunocompromised hosts.
Key word : Tuberculosis, Pyomyositis, Tuberculous Pyomyositis
RA TANA V ADEE NANAGARA, MD*
Tuberculosis, caused by
Mycobacterium tuberculosis
is a common infection both in immuno-
compromised and normal hosts. Its clinical manifestation can by divided as pulmonary and extrapulmo-
nary form. Pyomyositis caused by
M. tuberculosis
is extremely rare. The authors report 2 patients, one
with underlying dermatomyositis, and the other with polymyositis. The diagnosis was delayed accord-
ing to nonspecific symptoms and masking effect of steroid therapy, which led to complications. Micro-
scopy and culture of the pus confirmed the diagnosis. Surgical drainage was done and antituberculous
therapy was given. The patient with dermatomyositis was complicated by drug induced hepatitis and
died but the other was cured. Tuberculous pyomyositis should be considered in patients who are
immunocompromised hosts.
Key word : Tuberculosis, Pyomyositis, Tuberculous Pyomyositis
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