Multi-drug-resistant tuberculosis in a patient presenting with bilateral gluteal abscesses and right leg swelling with end-stage renal disease.
This is a 40-year-old woman with end-stage renal disease (ESRD). She received empirical treatment for presumed TB of the right knee joint. The arthritis and the constitutional symptoms resolved despite the patient's poor compliance. One year later, she presented with TB abscesses involving the upper end of right tibia and bilateral gluteus muscles, which proved to be resistant to isoniazid, rifampicin and ethambutol. The patient was successfully treated with pyrazinamide, ofloxacin and amikacin.
Al-Shehri
Abdulraheem M
AM
Department of Medicine, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
Al-Ghamdi
Saeed M G
SM
Khalil
Abdalla
A
Al-Amoudi
Abdullah
A
Baslaim
Abdullah
A
Mamoun
Irfan
I
D000038:Abscess / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use*; D002081:Buttocks; D003937:Diagnosis, Differential; D004487:Edema / Q000209:etiology*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D007866:Leg; D008279:Magnetic Resonance Imaging; D020370:Osteoarthritis, Knee / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D018088:Tuberculosis, Multidrug-Resistant / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D014394:Tuberculosis, Osteoarticular / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
D000995:Antitubercular Agents