A Case of Hematogenous Tuberculosis of Skeletal Muscle.
- Author:
Joon Jae SHINN
1
;
Jae Soon SONG
;
Hyun Kyung LEE
;
Kye Hwa YOU
;
Wang Ki CHA
;
Jong Soon KIM
;
Jae Youl LEE
;
Woo Chun LEE
;
Eung Jo KIM
;
Byung Doo LEE
;
Jong Tae CHO
Author Information
1. Department of Internal Medicine, Hanil General Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Hematogenous Tuberculosis;
Skeletal Muscle
- MeSH:
Aged;
Deltoid Muscle;
Edema;
Epithelioid Cells;
Fever;
Giant Cells;
Granuloma;
Humans;
Joints;
Magnetic Resonance Imaging;
Muscle, Skeletal*;
Mycobacterium tuberculosis;
Shoulder Pain;
Sputum;
Tuberculosis*
- From:Korean Journal of Medicine
1998;54(4):563-567
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Tuberculosis infection of skeletal muscle is rare even in countries in which tuberculosis is a relatively common disease. Because tuberculosis of muscle is almost always secondary to underlying tuberculosis of the bone or adjacent joint, hematogenous tuberculosis of skeletal muscle is extremely rare. Therefore, We report a case of hematogenous tuberculosis of skeletal muscle with the review of literatures. A 79-year-old man presented with a history of left shoulder pain, edema, fever and chill. MRI showed inflammatory changes of infraspinatus and deltoid muscle. The histopathology of skeletal muscle showed granulomas surrounded by epithelioid cells and Langhans' giant cells. Mycobacterium tuberculosis was grown from the specimens of sputum, pleural fluid and muscle tissue. The patient improved on anti-tuberculosis treatment.
