Narang Sagar
North Bengal Medical College and Hospital, Sushrutanagar, Darjeeling, India.
Hand (N Y). 2009 Mar;4(1):88-91. doi: 10.1007/s11552-008-9127-x. Epub 2008 Aug 20.
Tuberculous pyomyositis is a rare entity reported in literature. The presented case reports the occurrence of such a lesion in forearm muscles, without any bony involvement. The ambiguity in its diagnosis led to inadequate management by the primary care physician. Clinical suspicion, positive tuberculin test, culture of acid-fast bacilli, 'effective drainage', and timely anti-tubercular chemotherapy ultimately resulted in a good clinical recovery. This case has been presented to increase the awareness about the existence of such an entity in clinical practice, thereby influencing its workup and the possible modes of management.
结核性脓性肌炎是文献中报道的一种罕见病症。本文报告的病例显示,这种病变发生在前臂肌肉,未累及任何骨骼。其诊断的不明确性导致初级保健医生的处理不当。临床怀疑、结核菌素试验阳性、抗酸杆菌培养、“有效引流”以及及时的抗结核化疗最终带来了良好的临床康复。展示此病例是为了提高临床实践中对这种病症存在的认识,从而影响其检查方法和可能的处理方式。