Tuberculous pyomyositis in an immunosuppressed patient
Abstract
Tuberculous pyomyositis is a rare manifestation of extrapulmonary tuberculosis, most common in immunosuppressed patients, with clinical manifestations similar to pyomyositis of other etiologies, although with a lower age of presentation; notable risk factors include prior tuberculosis infection and pharmacological immunosuppression. Diagnosis depends on a high clinical suspicion of the infection in a susceptible population, given that microbiological isolation is often impossible. The response to treatment and prognosis are good. The case presented here is noteworthy given the rarity of this manifestation of tuberculosis and the slow response to first-line TB management in an HIV patient, despite susceptible microbiological isolation.
Downloads
References
World Health Organization. Global tuberculosis report 2014. WHO/HTM/TB/2014.08. Fecha de consulta: 1#º de mayo 2015. Disponible en: www.who.int/tb/publications/global_report/gtbr14_main_text.pdf.
Cortés JA, Hidalgo P, Rey DL, Parra GA, Gutiérrez IF. Tuberculosis en pacientes con infección por VIH en el Hospital Universitario de San Ignacio 2002-2006. Infectio. 2007;11:16-22.
Lozada C, Lemus LF, Guevara J, Velasco M, Chan L, Leal VC. Tuberculosis extrapulmonar, reporte de caso. Revista Colombiana Salud Libre. 2011;10:80-89.
Díaz M, Muñoz S, García L. Tuberculosis en el Hospital Universitario San José, Popayán, 1998-2000. Biomédica. 2004;24(Supl.1):92-101. http://dx.doi.org/10.7705/biomedica.v24iSupp1.1308.
Instituto Nacional de Salud. Boletín Epidemiológico Semanal N#º 44 de 2014 (26 octubre a 1 noviembre de 2014). Bogotá: INS; 2014. p. 28-9. Fecha de consulta: 1 de mayo de 2015. Disponible en: http://www.ins.gov.co/boletin-epidemiologico/Boletn%20Epidemiolgico/2014%20Boletin%20epidemiologico%20semana%2044.pdf.
Panel on Opportunistic Infections in HIV-Infected Adults and Adolescents. Guidelines for prevention and treatment of opportunistic infections in HIV-infected adults and adolescents: Recommendations from the Centers for Disease Control and Prevention, the National Institutes of Health, and the HIV Medicine Association of the Infectious Diseases Society of America. 2015. Fecha de consulta: 1#º de mayo de 2015. Disponible en: https://aidsinfo.nih.gov/contentfiles/lvguidelines/Adult_OI.pdf.
Arenas NE, Ramírez N, González G, Rubertone S, García AM, Gómez JE, et al. Estado de la coinfección tuberculosis/virus de la inmunodeficiencia humana en el municipio de Armenia (Colombia): experiencia de 10 años. Infectio. 2012;16:140-7.
Shields D, Robinson P, Crowley TP. Iliopsoas abscess - a review and update on the literature. Int J Surg. 2012;10: 4669. http://dx.doi.org/10.1016/j.ijsu.2012.08.016.
Campbell S, Iglesias A. Piomiositis. Informe de 132 pacientes. Biomédica. 1994;14:105-16. http://dx.doi.org/10.7705/biomedica.v14i2.2093.
Navarro-López V, Ramos JM, Meseguer V, Pérez-Arellano JL, Serrano R, García-Ordóñez MA, et al. Microbiology and outcome of iliopsoas abscess in 124 patients. Medicine (Baltimore). 2009;88:120-30. http://dx. doi/10.1097/MD.0b013e31819d2748.
Chen WL, Lin YF, Tsai WC, Tsao YT. Unveiling tuberculous pyomyositis: An emerging role of immune reconstitution inflammatory syndrome. Am J Emerg Med. 2009;27:251.e1-2. http://dx.doi.org/10.1016/j.ajem.2008.05.030.
Muangchan C, Nilganuwong S. The study of clinical manifestation of osteoarticular tuberculosis in Siriraj Hospital, Thailand. J Med Assoc Thai. 2009;92(Suppl.2):S101-9.
Krishnasamy V, Joseph M. Tuberculous pyomyositis: A rare but serious diagnosis. Case Rep Med. 2013;2013:126952. http://dx.doi.org/10.1155/2013/126952.
Simopoulou T, Varna A, Dailiana Z, Katsiari C, Alexiou I, Basdekis G, et al. Tuberculous pyomyositis: A re-emerging entity of many faces. Clin Rheumatol. 2014:1-6. http://dx.doi.org/10.1007/s10067-014-2564-8.
Mootsikapun P, Mahakkanukrauh A, Suwannaroj S, Nanagara R. Tuberculous pyomyositis. J Med Assoc Thai. 2003;86:477-81.
Indudhara R, Singh SK, Minz M, Yadav RV, Chugh KS. Tuberculous pyomyositis in a renal transplant recipient. Tuber Lung Dis. 1992;73:239-41.
Modi MA, Mate AD, Nasta AM, Gvalan AK. Primary tuberculous pyomyositis of quadriceps femoris in an immunocompetent individual. Case Rep Infect Dis. 2013; 2013:723879. http://dx.doi.org/10.1155/2013/723879.
Sen RK, Tripathy SK, Deivaraju C, Das A. Isolated focal pyomyositis of teres minor: An unusual presentation of tuberculosis. 2011. Acta Orthop Traumatol Turc. 2011;45: 276-9. http://dx.doi.org/10.3944/AOTT.2011.2447.
Schwander SK, Dietrich M, Mugyenyi P, Kityo C, Okwera A, Johnson J, et al. Clinical course of human immunodeficiency virus type 1 associated pulmonary tuberculosis during short-course antituberculosis therapy. East Afr Med J. 1997;74:543-8.
Johnson JL, Okwera A, Vjecha MJ, Byekwaso F, Nakibali J, Nyole S, et al. Risk factors for relapse in human immunodeficiency virus type 1 infected adults with pulmonary tuberculosis. Int J Tuberc Lung Dis. 1997; 1:446-53.
Melzer M, Gupta N, Petersen I, Cook S, Hall B. Previous treatment in predicting drug-resistant tuberculosis in an area bordering East London, UK. Int J Infect Dis. 2010; 14:717-22. http://dx.doi.org/10.1016/j.ijid.2010.02.2247.
Daniel O, Osman E. Prevalence and risk factors associated with drug resistant TB in South West, Nigeria. Asian Pac J Trop Med. 2011;4:148-51. http://dx.doi.org/10.1016/S1995-7645(11)60057-6.
Caminero JA. Multidrug-resistant tuberculosis: Epidemiology, risk factors and case finding. Int J Tuberc Lung Dis. 2010;14:382-90.
Bonomo RA, Graham R, Makley JT, Petersilge CA. Tuberculous pyomyositis: An unusual presentation of disseminated Mycobacterium tuberculosis infection. Clin Infect Dis. 1995;20:1576-7. http://dx.doi.org/10.1093/clinids/20.6.1576.
Some similar items:
- María Patricia Arbeláez, Alexánder Arbeláez, Rubén Darío Gómez, Carlos Rojas, Lázaro Vélez, Sonia Luz Arias, Jorge Nagles, Luz Marina Peláez, Gloria Betancourt, Gloria Velásquez, Effectiveness of prophylaxis against tuberculosis in patients infected with HIV , Biomedica: Vol. 27 No. 4 (2007)
- Mauricio Beltrán, María Cristina Navas, María Patricia Arbeláez, Jorge Donado, Sergio Jaramillo, Fernando De la Hoz, Cecilia Estrada, Lucía del Pilar Cortés, Amalia de Maldonado, Gloria Rey, Seroprevalence of hepatitis B virus and human immunodeficiency virus infection in a population of multiply-transfused patients in Colombia , Biomedica: Vol. 29 No. 2 (2009)
- Flor de María Cáceres, Luis Carlos Orozco, Incidence of and factors for non-compliance to antituberculous treatment , Biomedica: Vol. 27 No. 4 (2007)
- María Teresa Rugeles, Paula A. Velilla, Carlos J. Montoya, Mechanisms of human natural resistance to HIV: A summary of ten years of research in the Colombian population , Biomedica: Vol. 31 No. 2 (2011)
- Jaiberth Cardona-Arias, Luz Peláez-Vanegas, Juan López-Saldarriaga, Marcela Duque-Molina, Oscar Leal-Álvarez, Health related quality of life in adults with HIV/AIDS in Colombia , Biomedica: Vol. 31 No. 4 (2011)
- Sandra Rincón, Adriana Celis, Leticia Sopó, Adriana Motta, María Caridad Cepero de García, Malassezia yeast species isolated from patients with dermatologic lesions. , Biomedica: Vol. 25 No. 2 (2005)
- Adriana M. Celis, María Caridad Cepero de García, Genetic polymorphism of Malassezia spp. yeast isolates from individuals with and without dermatological lesions. , Biomedica: Vol. 25 No. 4 (2005)
- Zulbey Rivero-Rodríguez, Amparo Hernández, Ángela Bracho, Solneumar Salazar, Rafael Villalobos, Prevalence of intestinal microsporidia and other intestinal parasites in HIV positive patients of Maracaibo, Venezuela , Biomedica: Vol. 33 No. 4 (2013)
- Liliana Villa, Iván Mauricio Trompa, Fernando Nicolás Montes, Joaquín Guillermo Gómez, Carlos Andrés Restrepo, Analysis of mortality caused by tuberculosis in Medellín, Colombia, 2012 , Biomedica: Vol. 34 No. 3 (2014)
- Leonardo F. Jurado, Martha I. Murcia, Patricia Hidalgo, John E. Leguizamón, Lorena R. González, Phenotypic and genotypic diagnosis of bone and miliary tuberculosis in an HIV+ patient in Bogotá, Colombia , Biomedica: Vol. 35 No. 1 (2015)
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
