TUBERCULOUS ABSCESS OF THE THIGH MUSCLE IN A PATIENT WITH SYSTEMIC LUPUS ERYTHEMATOSUS MR FEATURES IN AN UNUSUAL PRESENTATION OF TUBERCULOSIS

Authors

  • THO FEI Ling Registrar, Dept of Diagnostic Imaging, Tan Tock Seng Hospital
  • Thomas CHEE Consultant, Dept of Diagnostic Imaging. Tan Tock Seng Hospital
  • LEONG KENG Hong Consultant, Dept of Rheumatology. Tan Tock Seng Hospital

Abstract

Infections are a major cause of morbidity and mortality in systemic lupus erythematosus patients. Although these patients are susceptible to infection, soft tissue infections are rare. We report a case of tuberculous abscess and myositis involving the left vastus lateralis muscle but with no pulmonary manifestation of tuberculosis. The rare localization of tuberculosis to skeletal muscle in this case is likely to be related to immunosuppression from chronic steroid therapy and the underlying autoimmune disease.

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References

Walling DM, Kaelin WG. Pyomyositis in patients with diabetes mellitus. Reviews of Infectious Diseases 1991;13:797-802.

Resnick D, Diagnosis of Bone and Joint Diseases, 3rd Edition. Saunders, 1995:66

Hadden JW, Hadden EH. Drugs that act on the immune system: Immunopharmacology and immunotherapy. From: Munson PL, Mueller RA, Breese GR, eds. Principles of Pharmacology; Basic Concepts & Clinical Applications. Chapman and Hall, 1995:11

Brigid AG, Salutario M, Andrew JC Pyomyo- sitis: Characteristics at CT and MR Imaging. Radiology 1995;197:279-286

Holseeck MV, Introcaso JH. Musculos-keletal Ultrasound. Mosby Year Book, 1991:39

Jones B, Hessel SJ, Weissman BN et al. Psoas abscess-fact and mimicry. Urol Radiol 2:37,1980

Fleckenstein JL, Burns DK, Murphy FK et al: Differential diagnosis of bacterial myositis in AIDS: Evaluation with MR imaging. Radio- logy 179:653, 1991.

Yousefzadeh DK, Schumann EM, Mulligan GM et al: The role of imaging modalities in diagnosis and management of pyomyositis, Skeletal Radiology 8:285, 1992.

Applegate GR, Cohen AJ: Pyomyositis: Early detection utilizing multiple imaging modalities. Magnetic Resonance Imaging 9:187, 1991.

Clementsen P, Hansen M, Conrad C et al: Percutaneous drainage of tuberculous abscess of the psoas muscle. Tubercle, 69:1, 1988 Mar, 63-5

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Published

2023-04-06

How to Cite

1.
FEI Ling T, CHEE T, KENG Hong L. TUBERCULOUS ABSCESS OF THE THIGH MUSCLE IN A PATIENT WITH SYSTEMIC LUPUS ERYTHEMATOSUS MR FEATURES IN AN UNUSUAL PRESENTATION OF TUBERCULOSIS. ASEAN J Radiol [Internet]. 2023 Apr. 6 [cited 2024 Nov. 21];3(1):51-5. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/362

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Original Article