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A Case of Multi-Drug Resistant Tubercular Pyomyositis in an Immunosuppressed Patient Presenting as Bacterial
Ujjwol Risal1, Suravi Pandey1, Pradeep Raj Regmi2
1Department of Internal Medicine, Hospital for Advanced Medicine and Surgery, Dhumbarahi, Kathmandu, Nepal.
Abstract:
Tubercular pyomyositis is a rare but distinct clinical entity which is difficult to diagnose especially in a patient with underlying autoimmune disease. The treatment is even more challenging if it is a multi-drug resistant strain. Here we report a patient with primary Sjögren's syndrome who presented with persistent inflammation of his right arm which was later diagnosed as multi-drug resistant tubercular pyomyositis. This case highlights the need for a high index of suspicion for tuberculosis in all cases of pyomyositis.
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