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Int J Mycobacteriol. 2019 Oct-Dec;8(4):403-405. doi: 10.4103/ijmy.ijmy_139_19.

Isolated tuberculous abscess in longissimus muscle.

Author information

1
Department of Orthopedics and Traumatology, Medicine School of Tunis, Kassab Institute, Tunis, Tunisia.
2
Department of Radiology, Medicine School of Tunis, Kassab Institute, Tunis, Tunisia.
3
Department of Infectious Diseases, Medicine School of Tunis, La Rabta Hospital, Tunis, Tunisia.

Abstract

Muscle's tuberculosis (TB) without coexistent active skeletal involvement is very rare. We presented a case of tuberculous abscess of longissimus muscle in a young immunocompetent female. Magnetic resonance imaging showed a well-circumscribed lesion in the longissimus muscle. No bony abnormality was noticed. An ultrasound-guided biopsy revealed the presence of granulomatous features on cytological pathology. A good response was seen with antitubercular treatment. TB should be considered in the differential diagnosis of any unexplained soft-tissue swelling in people born in tubercular endemic areas. To the best of our knowledge, our observation is the third reported case in immunocompetent patient.

KEYWORDS:

Abscess; muscle; spine; swelling; tuberculosis

PMID:
31793514
DOI:
10.4103/ijmy.ijmy_139_19
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