Revista do Instituto de Medicina Tropical de Sao Paulo · 2025
Psoas muscle abscess as initial manifestation of disseminated tuberculosis in a previously healthy man: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Moreira Barbosa Pedro Henrique, Martins Ezequias Batista, McBenedict Billy, Vargas Vilte Remberto Maurício de La Cruz, Oliveira de Moura Ronchini Karla Regina, Chilinque Zambão da Silva Natalia, Pinheiro Patrícia Yvonne Maciel, de Oliveira Vieira Thais, Villar Bianca Balzano de la Fuente
Аннотация
Psoas muscle abscess is an insidious disease, with varied clinical manifestations and a challenging diagnosis. This pathology has been more frequently identified due to the increased availability of high-quality radiological imaging, such as computed tomography. In Brazil, Mycobacterium tuberculosis is the most common secondary etiologic agent of psoas abscess. We report the case of a 28-year-old immunocompetent man diagnosed with disseminated tuberculosis, affecting the lungs, lumbar spine, and psoas muscle, leading to permanent locomotion sequelae. This case is very relevant for osteoarticular complaints, as low back pain and limping were the initial symptoms. Diagnosis was confirmed by ultrasound-guided percutaneous drainage of the psoas muscle abscess and detection of the M. tuberculosis complex via Xpert MTB/RIF. A 12-month treatment with antitubercular drugs was effective.