Atypical presentation of Mycobacterium tuberculosis in an infant

D R Gayathri Devi1, Mangala Gowri, S Padmalatha

  • 1M.S Ramaiah Medical College, Bangalore, Karnataka, India. gayathri_devi2006@rediffmail.com

Insights

Skeletal muscle tuberculosis is a rare condition often diagnosed late, leading to permanent limb damage. Early detection and treatment with anti-tubercular drugs are crucial for successful outcomes in children.

Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Pediatrics

Background:

  • Tuberculosis (TB) primarily affects the lungs, but skeletal muscle involvement is exceptionally rare.
  • Delayed diagnosis of extrapulmonary TB, including muscular TB, can result in severe functional impairment and deformities.

Observation:

  • A case study of a healthy child presenting with an intramuscular cystic swelling above the elbow.
  • Pus aspirated from the swelling contained acid-fast bacilli, consistent with Mycobacterium tuberculosis.

Findings:

  • Microbiological culture confirmed the presence of Mycobacterium tuberculosis in the aspirated pus.
  • The child received a successful course of anti-tubercular therapy.

Implications:

  • Highlights the importance of considering rare presentations of tuberculosis in pediatric cases.
  • Emphasizes the need for prompt diagnosis and treatment to prevent long-term sequelae of skeletal muscle TB.
  • Suggests that early intervention can lead to complete recovery and restoration of limb function.

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