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The Effectiveness of Vacuum-Assisted Closure Device in Managing Intramuscular Tuberculosis
Sharifah A Othman1, Tarek M ElSharkawy, Doaa Alfaifi
1At the King Fahad Hospital, Imam Abdulrahman Bin Faisal University, College of Medicine, Dammam, Saudi Arabia, Sharifah A. Othman, MBBS, is Surgery Resident, Thoracic Surgery Division; Tarek M. ElSharkawy, MD, is Pathology Consultant, Pathology Department; Doaa Alfaifi, MD, is Pathology Resident, Pathology Department; and Yasser Aljehani, MD, is Thoracic Surgery Consultant, Thoracic Surgery Division. Acknowledgment: The authors thank Dr Wasan Alalwan for collecting the patient's data. The authors have disclosed no financial relationships related to this article. Submitted May 28, 2020; accepted in revised form July 7, 2020.
Abstract:
Tuberculosis (TB) is endemic to some geographic areas such as Africa, Eastern Europe, Asia, Latin America, and the Caribbean. It is called the great mimicker because of its diverse and variable presentation and affects almost every organ in the body with different symptomatology. Often, TB causes empyema necessitans, the rarest forms of which are intramuscular and cutaneous. Here, the authors report a case of empyema necessitans and intramuscular TB, which was managed successfully with negative-pressure wound therapy. The treatment provided a good outcome and patient satisfaction compared with traditional invasive surgical options.
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