Miliary tuberculosis and necrotizing tuberculous fasciitis – An unusual coexistence in a rheumatoid arthritis patient
Identifieur interne : 001693 ( Main/Exploration ); précédent : 001692; suivant : 001694Miliary tuberculosis and necrotizing tuberculous fasciitis – An unusual coexistence in a rheumatoid arthritis patient
Auteurs : Hyun-Hee Kwon [Corée du Sud] ; Seung-Hoon Baek [Corée du Sud] ; Sung-Hoon Park [Corée du Sud]Source :
- International Journal of Rheumatic Diseases [ 1756-1841 ] ; 2010-05.
Abstract
We report a case of a 65‐year‐old Korean female patient with rheumatoid arthritis, who presented with extensive necrotizing fasciitis of the gluteus muscles, as an unusual initial manifestation of miliary tuberculosis. The patient had been previously treated with conventional disease‐modifying antirheumatic drugs and low‐dose steroids for 7 years. However, she recently developed fever, warmth and painful swelling in her right buttock. Magnetic resonance imaging indicated necrotizing fasciitis of the gluteus muscles and a fasciectomy specimen revealed a Mycobacterium tuberculosis infection. Two weeks after a fasciectomy, miliary tuberculosis of the lung was diagnosed by high resolution chest computed tomography. Soft tissue infection due to M. tuberculosis should be included as a differential diagnosis in the immunocompromised host. Clinicians should be alert to the possibility of miliary tuberculosis even in the absence of respiratory symptoms and normal chest radiograph.
Url:
DOI: 10.1111/j.1756-185X.2010.01467.x
Affiliations:
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The patient had been previously treated with conventional disease‐modifying antirheumatic drugs and low‐dose steroids for 7 years. However, she recently developed fever, warmth and painful swelling in her right buttock. Magnetic resonance imaging indicated necrotizing fasciitis of the gluteus muscles and a fasciectomy specimen revealed a Mycobacterium tuberculosis infection. Two weeks after a fasciectomy, miliary tuberculosis of the lung was diagnosed by high resolution chest computed tomography. Soft tissue infection due to M. tuberculosis should be included as a differential diagnosis in the immunocompromised host. Clinicians should be alert to the possibility of miliary tuberculosis even in the absence of respiratory symptoms and normal chest radiograph.</div></front></TEI><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Kwon, Hyun Ee" sort="Kwon, Hyun Ee" uniqKey="Kwon H" first="Hyun-Hee" last="Kwon">Hyun-Hee Kwon</name></noRegion><name sortKey="Baek, Seung Oon" sort="Baek, Seung Oon" uniqKey="Baek S" first="Seung-Hoon" last="Baek">Seung-Hoon Baek</name><name sortKey="Park, Sung Oon" sort="Park, Sung Oon" uniqKey="Park S" first="Sung-Hoon" last="Park">Sung-Hoon Park</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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