Korean J Med.
1998 Apr;54(4):563-567.
A Case of Hematogenous Tuberculosis of Skeletal Muscle
- Affiliations
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- 1Department of Internal Medicine, Hanil General Hospital, Seoul, Korea.
- 2Department of Orthopedics*, Hanil General Hospital, Seoul, Korea.
- 3Department of Radiology, Hanil General Hospital, Seoul, Korea.
- 4Department of Pathology, Hanil General Hospital, Seoul, Korea.
- 5Department of Internal Medicine, College of Medicine Dankook University, Cheonan, Korea.
Abstract
- 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.
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