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CASE REPORT
Year : 2019  |  Volume : 8  |  Issue : 4  |  Page : 403-405

Isolated tuberculous abscess in longissimus muscle


1 Department of Orthopedics and Traumatology, Medicine School of Tunis, Kassab Institute, Tunis, Tunisia
2 Department of Radiology, Medicine School of Tunis, Kassab Institute, Tunis, Tunisia
3 Department of Infectious Diseases, Medicine School of Tunis, La Rabta Hospital, Tunis, Tunisia

Correspondence Address:
Khaled Zitouna
Department of Orthopedics and Traumatology, La Rabta Hospital, 15 rue Djebel Lakhdhar 1007, Tunis
Tunisia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmy.ijmy_139_19

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Muscle's tuberculosis (TB) without coexistent active skeletal involvement is very rare. We presented a case of tuberculous abscess of longissimus muscle in a young immunocompetent female. Magnetic resonance imaging showed a well-circumscribed lesion in the longissimus muscle. No bony abnormality was noticed. An ultrasound-guided biopsy revealed the presence of granulomatous features on cytological pathology. A good response was seen with antitubercular treatment. TB should be considered in the differential diagnosis of any unexplained soft-tissue swelling in people born in tubercular endemic areas. To the best of our knowledge, our observation is the third reported case in immunocompetent patient.


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