title: Extrapulmonary tuberculosis: an unusual presentation in an immunocompetent patient.
abstract: A 50-year-old Brazilian woman was admitted to our department because of pelvic pain irradiated to the lower left limb, ipsilateral ankle swelling and progressive weight loss. Doppler ultrasound demonstrated deep venous femoropopliteal thrombosis, while a thorax-abdomen CT scan showed multiple solid hypodense pulmonary lesions, a large hypodense lesion in the iliopsoas muscles bilaterally and a complex cystoid lesion at the hepatic hilum. These findings were better characterised as active inflammatory colliquated lymph nodes by positron emission tomography and echo-guided percutaneous fine-needle aspiration of the left iliopsoas abscessual lesion finally allowed the diagnosis of tubercular infection with positive cultures for Mycobacterium tuberculosis complex.
authors.affiliation: Department of Internal Medicine, Ospedale Maggiore Policlinico Regina Elena Milano, Milan, Italy.
authors.forename: Rosa
authors.initials: R
authors.lastname: Lombardi
authors.affiliation: Department of Internal Medicine, Ospedale Maggiore Policlinico Regina Elena Milano, Milan, Italy.
authors.forename: Serena
authors.initials: S
authors.lastname: Pelusi
authors.affiliation: Department of Internal Medicine, Ospedale Maggiore Policlinico Regina Elena Milano, Milan, Italy.
authors.forename: Lorena
authors.initials: L
authors.lastname: Airaghi
authors.affiliation: Department of Internal Medicine, Ospedale Maggiore Policlinico Regina Elena Milano, Milan, Italy.
authors.forename: Silvia
authors.initials: S
authors.lastname: Fargion
mesh_terms: D018784:Abdominal Abscess / Q000000981:diagnostic imaging / Q000382:microbiology*; D044963:Biopsy, Fine-Needle; D001938:Brazil; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000473:pathology; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed; D014376:Tuberculosis / Q000175:diagnosis* / Q000382:microbiology; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging*; D018608:Ultrasonography, Doppler; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000382:microbiology