https://doi.org/10.4081/monaldi.2022.2311

Musculoskeletal tuberculosis with multifocal muscle abscesses in a healthy young adult

Vol. 93 No. 3 (2023)
Submitted: May 2, 2022
Accepted: October 6, 2022
Published: October 11, 2022
Musculoskeletal tuberculosis, Iliopsoas abscess, CT-guided abscess drainage
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Authors

Vasileios Gkogkos
Department of Pulmonology, Army Share Fund Hospital, Athens, Greece.
Georgia-Emmanouela Dendrinou
https://orcid.org/0000-0001-8188-4829
Department of Pulmonology, Army Share Fund Hospital, Athens, Greece.
Ioanna Papadaki
https://orcid.org/0000-0001-9819-6168
Department of Pulmonology, Army Share Fund Hospital, Athens, Greece.
Maria Christodoulou
Department of Pulmonology, Army Share Fund Hospital, Athens, Greece.
Charalampos Stoumpos
Department of Interventional Radiology, 401 General Military Hospital of Athens, Greece.
Timothy Sakellaridis
https://orcid.org/0000-0001-5695-0863
Department of Thoracic Surgery, Army Share Fund Hospital, Athens, Greece.
Kyriaki Zeibecoglou
Department of Pulmonology, Army Share Fund Hospital, Athens, Greece.
Dimitrios Papadopoulos
d.g.papadopoulos@gmail.com
https://orcid.org/0000-0002-5547-6474
Department of Pulmonology, Army Share Fund Hospital, Athens, Greece.

Musculoskeletal tuberculosis represents 1% of total tuberculosis cases. It affects young adults from endemic countries or immunocompromised patients, and may lead to severe functional impairment. We report a case of a 27-year-old male from an endemic country presenting with a 4-month history of fever, a major pectoralis abscess, and low back pain. A lumbar spine MRI revealed osteolytic lesions in multiple vertebral bodies along with a large iliopsoas abscess. Both abscesses were drained and the diagnosis was established by positive polymerase chain reaction assay for tuberculosis. The patient was initiated on anti-tuberculous treatment for 9 months. Musculoskeletal tuberculosis is rarely found in Western countries. If left untreated, it can lead to severe complications which may require surgical intervention.

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How to Cite

Gkogkos, Vasileios, Georgia-Emmanouela Dendrinou, Ioanna Papadaki, Maria Christodoulou, Charalampos Stoumpos, Timothy Sakellaridis, Kyriaki Zeibecoglou, and Dimitrios Papadopoulos. 2022. “Musculoskeletal Tuberculosis With Multifocal Muscle Abscesses in a Healthy Young Adult”. Monaldi Archives for Chest Disease 93 (3). https://doi.org/10.4081/monaldi.2022.2311.
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