A Massive Tuberculosis Abscess at the Erector Spinae Muscles and Subcutaneous Tissues in a Young Man
Journal Title: Sultan Qaboos University Medical Journal - Year 2013, Vol 13, Issue 4
Abstract
Tuberculosis (TB) is a chronic granulomatous infection which can present in an atypical form. Isolated muscle involvement is very rare. We report a 25-year-old man who presented with a massive cystic swelling on the right side of his back, extending from the lower thoracic to the gluteal region. He had a history of contact with a friend who was suspected of having TB. Magnetic resonance imaging (MRI) showed that the origin of the cyst was from the erector spinae muscles. Te result of a fluid aspirate showed acid fast bacilli. Te swelling disappeared after treatment with anti-tuberculous medications. Muscular involvement in TB is very rare. In our patient, the reports of an ultrasound and MRI confrmed isolated muscle and subcutaneous involvement without bony lesions. Tis case is reported to increase physician awareness regarding soft tissue TB. Although it is rare, similar cases may be seen in the future.
Authors and Affiliations
Kawther T. Elshafe| Department of Family Medicine & Public Health, Sultan Qaboos University Hospital, Muscat, Oman, Mustafa M. Al-Hinai| Department of Family Medicine & Public Health, Sultan Qaboos University Hospital, Muscat, Oman, Hamdan A. Al-Habsi| Department of Family Medicine & Public Health, Sultan Qaboos University Hospital, Muscat, Oman, Mohammed S. Al-Hattali| Department of Family Medicine & Public Health, Sultan Qaboos University Hospital, Muscat, Oman, Osama Hassan| Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman, Rashid Al-Sukaiti| Department of Radiology & Molecular Imaging, Sultan Qaboos University Hospital, Muscat, Oman
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