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Mycobacterium tuberculosis pyomyositis in an infant

Za Malik1, M Shehab

  • 1Department of Pediatrics, The City Hospital, Dubai, United Arab Emirates.

Annals of Medical and Health Sciences Research
|August 7, 2013
PubMed

Insights

Pediatric tuberculosis pyomyositis, a rare condition, was diagnosed in a 9-month-old infant. Prompt anti-TB medication led to complete recovery, emphasizing early diagnosis for unusual presentations.

Area of Science:

  • Pediatric Infectious Diseases
  • Mycobacterial Infections
  • Skeletal Muscle Pathology

Background:

  • Tuberculosis (TB) is a global endemic disease with diverse clinical manifestations, particularly in children.
  • Pyomyositis, or muscle infection, is uncommon in developed countries and can be caused by various pathogens.

Observation:

  • A 9-month-old infant presented with persistent thigh induration unresponsive to antibiotics and surgical drainage.
  • Diagnostic investigations revealed Mycobacterium tuberculosis in operative samples via PCR and culture.

Findings:

  • The infant was diagnosed with tuberculous pyomyositis, a rare form of musculoskeletal TB.
  • A 9-month course of anti-TB medications resulted in complete resolution and recovery.

Implications:

  • This case represents the first reported instance of TB pyomyositis in an infant.
  • Highlights the importance of considering atypical pathogens like Mycobacterium tuberculosis when conventional treatments fail in pediatric cases.

Keywords:
AbscessInfantInjection-siteMycobacteriumPyomyositisTuberculosis

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