Sökücü Sami, Sökücü Sinem Nedime, Kabukçuoglu Yavuz, Kabukçuoglu Fevziye
Baltalimani Bone Diseases and Research Hospital, Istanbul, Turkey.
J Pak Med Assoc. 2013 Jan;63(1):126-8.
Tuberculosis can involve virtually any organ and it manifests itself in various forms. The selective involvement of muscles by a tuberculous process without coexisting active skeletal or extraskeletal tuberculosis is very rarely seen. A case of isolated tuberculosis of the biceps brachii muscle without any evident primary focus revealed as an intramuscular mass in a 37 years old immunocompetent female is presented. Diagnosis was established by histology and acid fast stain culture. The patient showed marked improvement with a standard four drug regimen with no evidence of disease activity at the four year follow up. This rare case is presented with review of literature.
结核病几乎可累及任何器官，并以多种形式表现出来。结核过程选择性累及肌肉而不存在并存的活动性骨骼或骨骼外结核的情况非常罕见。本文报告了一例37岁免疫功能正常女性，其肱二头肌孤立性结核，无任何明显原发灶，表现为肌肉内肿块。通过组织学和抗酸染色培养确诊。患者采用标准四联药物治疗后明显好转，随访四年无疾病活动迹象。本文结合文献复习介绍了这一罕见病例。
