Primary Tuberculous Pyomyositis of the Thigh Muscles in an Immunocompetent Patient: A Case Report
Badiane Aboubakar Sidikh *
Department of Infectious and Tropical Diseases, Fann National University Hospital, Cheikh Anta Diop University, Dakar, Republic of Senegal.
Georges Yumba Numbi
Department of Infectious and Tropical Diseases, Fann National University Hospital, Cheikh Anta Diop University, Dakar, Republic of Senegal and Department of Orthopedics and Traumatology, Ouakam Military Hospital, Cheikh Anta Diop University, Dakar, Republic of Senegal.
Kibwana Kakavi Merveille
Department of Internal Medicine, Infectious and Tropical Diseases Unit, Lubumbashi University Clinics, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo (DRC).
Christine Sambou
Department of Infectious and Tropical Diseases, Fann National University Hospital, Cheikh Anta Diop University, Dakar, Republic of Senegal.
A. Massaly
Department of Infectious and Tropical Diseases, Fann National University Hospital, Cheikh Anta Diop University, Dakar, Republic of Senegal.
Diallo Mbaye Khardiata
Department of Infectious and Tropical Diseases, Fann National University Hospital, Cheikh Anta Diop University, Dakar, Republic of Senegal.
Thioub Daouda
Department of Infectious and Tropical Diseases, Fann National University Hospital, Cheikh Anta Diop University, Dakar, Republic of Senegal.
Ka Daye
Department of Infectious and Tropical Diseases, Fann National University Hospital, Cheikh Anta Diop University, Dakar, Republic of Senegal.
Lakhe Ndeye Aissatou
Department of Infectious and Tropical Diseases, Fann National University Hospital, Cheikh Anta Diop University, Dakar, Republic of Senegal.
C. T. Ndour
Department of Infectious and Tropical Diseases, Fann National University Hospital, Cheikh Anta Diop University, Dakar, Republic of Senegal.
Moussa Seydi
Department of Infectious and Tropical Diseases, Fann National University Hospital, Cheikh Anta Diop University, Dakar, Republic of Senegal.
*Author to whom correspondence should be addressed.
Abstract
Tuberculous pyomyositis occurs mainly in immunocompromised patients, either through hematogenous spread (secondary form) or following direct trauma. However, it may also occur in immunocompetent patients without an initial focus and without clinical or radiological evidence of infection. The report presents a case of primary tuberculous pyomyositis presenting as an abscess of the left thigh. Initial treatment with broad-spectrum antibiotics for presumed tropical pyomyositis caused by common bacteria proved ineffective, with persistence of clinical signs. Microbiological examination of the pus using the Xpert test identified Mycobacterium tuberculosis. Clinical evolution was favourable under antituberculosis therapy combined with abscess drainage.
Keywords: Pyomyositis, tuberculosis, immunocompetence, thigh muscles