title: Mycobacterium tuberculosis pyomyositis in an infant.
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.
authors.affiliation: Department of Pediatrics, The City Hospital, Dubai, United Arab Emirates.
authors.forename: Za
authors.initials: Z
authors.lastname: Malik
authors.forename: M
authors.initials: M
authors.lastname: Shehab
keywords: Abscess; Infant; Injection-site; Mycobacterium; Pyomyositis; Tuberculosis
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