AN INFREQUENT OCCURRENCE OF TUBERCULOUS MYOSITIS WITH REVIEW OF LITERATURE

Abstract

Tuberculosis remains one of the deadliest disease in the world. The World Health Organisation (WHO) estimates that each year more than 8 million new cases occur approximately 3 million people die from the disease. Extra pulmonary infection accounts for 40% of all tuberculosis cases.^[1] Common sites of extra pulmonary tuberculosis are lymph nodes and abdomen. Musculoskeletal tuberculosis occurs only in 3% of cases.^[2]

Primary tuberculous pyomyositis is a rare manifestation of musculoskeletal tuberculosis.^[2] It can cause a diagnostic dilemma for a physician and surgeon because of its similar presentation to soft tissue sarcomas, hematomas, and myopathies.^[2] We present a case of a 20-year-old immunocompetent gentleman with a L thigh & arm swelling with USG guided aspiration after MRI, CBNAAT was positive for tuberculosis patient was started on anti-tubercular treatment . In a tubercular endemic country, a high index of suspicion is required to diagnose this disease which can be cured completely.