Tuberculous pyomyositis in an immunosuppressed patient.
Tuberculous pyomyositis is a rare manifestation of extrapulmonary tuberculosis, most common in immunosuppressed patients, with clinical manifestations similar to pyomyositis of other etiologies, although with a lower age of presentation; notable risk factors include prior tuberculosis infection and pharmacological immunosuppression. Diagnosis depends on a high clinical suspicion of the infection in a susceptible population, given that microbiological isolation is often impossible. The response to treatment and prognosis are good. The case presented here is noteworthy given the rarity of this manifestation of tuberculosis and the slow response to first-line TB management in an HIV patient, despite susceptible microbiological isolation.
Grupo de Investigación Infectocontrol, Hospital Universitario de Neiva, Neiva, Colombia Departamento de Medicina Interna, Facultad de Salud, Universidad Surcolombiana, Neiva, Colombia Unidad de Infectología, Hospital Universitario de Neiva, Neiva, Colombia. osoriopinzon@gmail.com.
Johanna
J
Osorio
Jackeline
J
Barreto
Jhonattan
J
Benavides
Óscar
Ó
López
Ángela
Á
Cuenca
Esperanza
E
García
D015658:HIV Infections / Q000150:complications / Q000473:pathology*; D006801:Humans; D016867:Immunocompromised Host / Q000276:immunology* / Q000502:physiology; D011379:Prognosis; D052880:Pyomyositis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D014376:Tuberculosis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology
HIV; pyomyositis; tuberculosis/therapy