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Case Reports
. 2013 Apr;3(2):282-4.
doi: 10.4103/2141-9248.113681.

Mycobacterium tuberculosis pyomyositis in an infant

Za Malik  1 , M Shehab
Affiliations
Case Reports

Mycobacterium tuberculosis pyomyositis in an infant

Za Malik et al. Ann Med Health Sci Res. 2013 Apr.

Abstract

Mycobacterium tuberculosis is endemic to many parts of the world. It may have variable clinical presentations, especially in the pediatric age group. Presented here is the case of a 9-month old infant who was referred for infectious disease opinion when his thigh induration failed to improve after surgical drainage and a course of oral antibiotic therapy. Mycobacterial PCR on the operative sample fluid was found to be positive; and mycobacterial culture grew M. tuberculosis. He received 9 months of treatment with anti-TB medications, with excellent results and complete recovery. This is the first report of TB pyomyositis in an infant; and highlights the need to have a high index of suspicion for unusual organisms when conventional therapy fails to demonstrate expected results.

Keywords: Abscess; Infant; Injection-site; Mycobacterium; Pyomyositis; Tuberculosis.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Post-contrast axial T1 MRI image with extensive enhancement of the right vastus lateralis and vastus intermedius muscles
Figure 2
Figure 2
Coronal PDFS (proton density fat saturation) MRI image with extensive inflammation of the right vastus lateralis and vastus intermedius muscles
See this image and copyright information in PMC

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