Tuberculous Fasciitis in Polymyositis: A Rare Case of Extrapulmonary Tuberculosis.
A 71-year-old woman with polymyositis presenting with left thigh pain and an intermittent fever was admitted to Osaka Rosai Hospital. We initially diagnosed that her pain and fever were caused by a soft tissue infection because her polymyositis was controlled. She did not respond to various antibiotic therapies. Chest computed tomography demonstrated miliary tuberculosis (TB). Ziehl-Neelsen staining of liver biopsy specimens revealed epithelioid cell granuloma and acid-fast bacilli. Therefore, we finally diagnosed the lesion as TB fasciitis that improved with anti-TB drug therapy. The atypical presentation of TB fasciitis demonstrates the clinical importance of eliminating TB infections in immunocompromised hosts.
Department of Nephrology, Osaka Rosai Hospital, Japan.
Ikue
I
Nagayama
Katsuyuki
K
Nagatoya
Yu
Y
Kurahara
Akira
A
Mega
Masashi
M
Morita
Ryota
R
Haga
Yu
Y
Yamanouchi
Yoshito
Y
Yamaguchi
Tatsufumi
T
Oka
Atsushi
A
Yamauchi
D000368:Aged; D003937:Diagnosis, Differential; D005208:Fasciitis / Q000150:complications / Q000175:diagnosis*; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D016867:Immunocompromised Host; D010146:Pain / Q000209:etiology; D017285:Polymyositis / Q000150:complications / Q000175:diagnosis*; D013848:Thigh; D014057:Tomography, X-Ray Computed; D014391:Tuberculosis, Miliary / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging