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1Department of Internal Medicine, Hospital for Advanced Medicine and Surgery, Dhumbarahi, Kathmandu, Nepal
2Department of Radiology, Hospital for Advanced Medicine and Surgery, Dhumbarahi, Kathmandu, Nepal
3Department of Internal Medicine, Kirtipur Hospital, Kirtipur, Kathmandu, Nepal
U Risal
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.
Cite this article as: Risal U, Pandey S, Regmi PR, Subedee A. A Case of Multi-Drug Resistant Tubercular Pyomyositis in an Immunosuppressed Patient Presenting as Bacterial Infection. Mediterr J Rheumatol 2023;34(4):560-4
Article Submitted: 17 Jan 2023; Revised Form: 08 Feb 2023; Article Accepted: 20 Feb 2023; Available Online: 09 Aug 2023
This work is licensed under a Creative Commons Attribution 4.0 International License.
©2023 The Author(s).
