Tuberculose Muscular e Subcutânea Multifocal num Jovem Imunocompetente: Descrição de um Caso Clínico e Revisão da Literatura
| Autor: | João Cabo, Fernando Maltez, Ana Tavares e Castro, Luis Gustavo Nogueira Martins |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Tuberculosis Provisional diagnosis Pyomyositis HCC INF lcsh:Medicine pyomyositis Mycobacterium tuberculosis Muscular Diseases medicine mycobacterium tuberculosis immunocompetence lcsh:R5-920 biology business.industry lcsh:R Soft tissue General Medicine medicine.disease biology.organism_classification Dermatology muscular diseases tuberculosis Mycobacterium tuberculosis complex Immunocompetence Presentation (obstetrics) lcsh:Medicine (General) business Mycobacterium Tuberculosis |
| Zdroj: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação instacron:RCAAP Acta Médica Portuguesa, Vol 33, Iss 7-8, Pp 516-520 (2020) |
| ISSN: | 1646-0758 0870-399X |
| Popis: | Due to unfavorable conditions for survival and multiplication of Mycobacterium tuberculosis, muscle and soft tissue involvement is probably the rarest form of presentation of musculoskeletal tuberculosis, particularly without a clinically or radiologically apparent primary focus. As in other extrapulmonary forms of tuberculosis, its relative incidence is higher among immunocompromised patients. A progressive swelling is the most common complaint at presentation, which is otherwise mild and nonspecific. We present a case of multifocal (seven) subcutaneous and muscular tuberculous abscesses in a 29-year-old Indian patient who had no apparent underlying risk factors, nor any other organ involvement. Provisional diagnosis was initially made upon Mycobacterium tuberculosis complex nucleic acid detection in an aspirate of one of the collections and later confirmed by a positive culture on Lowenstein-Jensen medium. Two abscesses required aspiration and two others drained spontaneously. The patient responded well to nine months of anti-tuberculous therapy. An extensive review of the literature was made. info:eu-repo/semantics/publishedVersion |
| Databáze: | OpenAIRE |
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