RESUMO
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.
Assuntos
Idoso , Humanos , Músculo Deltoide , Edema , Células Epitelioides , Febre , Células Gigantes , Granuloma , Articulações , Imageamento por Ressonância Magnética , Músculo Esquelético , Mycobacterium tuberculosis , Dor de Ombro , Escarro , TuberculoseRESUMO
No abstract available.