title: Primary tuberculous pyomyositis of quadriceps femoris in an immunocompetent individual.
abstract: Primary tuberculous pyomyositis is a rare manifestation of musculoskeletal tuberculosis especially in immunocompetent individuals without a focus of tuberculosis in the body and the underlying bone disease. It can cause a diagnostic dilemma for a physician and surgeon because of its similar presentation to soft tissue sarcomas, hematomas, and myopathies. We present a case of a 45-year-old immunocompetant gentleman with a thigh swelling with sepsis due to pyomyositis of the quadriceps requiring a multimodal management of drainage of abscess, debridement of devitalized muscle, antitubercular drugs, and physiotherapy. In a tubercular endemic country, a high index of suspicion is required to diagnose this disease which can be cured completely.
authors.affiliation: Department of General Surgery, Seth GS Medical College and KEM Hospital, Parel, Mumbai 400012, India.
authors.forename: M A
authors.initials: MA
authors.lastname: Modi
authors.affiliation: Department of General Surgery, Seth GS Medical College and KEM Hospital, Parel, Mumbai 400012, India.
authors.forename: A D
authors.initials: AD
authors.lastname: Mate
authors.affiliation: Department of General Surgery, Seth GS Medical College and KEM Hospital, Parel, Mumbai 400012, India.
authors.forename: A M
authors.initials: AM
authors.lastname: Nasta
authors.affiliation: Department of General Surgery, Seth GS Medical College and KEM Hospital, Parel, Mumbai 400012, India.
authors.forename: A K
authors.initials: AK
authors.lastname: Gvalani