Tuberculous Fasciitis in Polymyositis: A Rare Case of Extrapulmonary Tuberculosis

被引：2

作者：

Nagayama, Ikue ^{[1
]}

Nagatoya, Katsuyuki ^{[1
]}

Kurahara, Yu ^{[2
]}

Mega, Akira ^{[1
]}

Morita, Masashi ^{[1
]}

Haga, Ryota ^{[1
]}

Yamanouchi, Yu ^{[1
]}

Yamaguchi, Yoshito ^{[1
]}

Oka, Tatsufumi ^{[1
]}

Yamauchi, Atsushi ^{[1
]}

机构：

[1] Osaka Rosai Hosp, Dept Nephrol, Sakai, Osaka, Japan

[2] Natl Hosp Org, Kinki Chuo Chest Med Ctr, Dept Resp Med, Sakai, Osaka, Japan

来源：

INTERNAL MEDICINE | 2016年 / 55卷 / 21期

关键词：

tuberculous fasciitis; polymyositis;

D O I：

10.2169/internalmedicine.55.5548

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 71-year-old woman with polymyositis presenting with left thigh pain and an intermittent fever was admitted to Osaka Rosai Hospital. We initially diagnosed that her pain and fever were caused by a soft tissue infection because her polymyositis was controlled. She did not respond to various antibiotic therapies. Chest computed tomography demonstrated miliary tuberculosis (TB). Ziehl-Neelsen staining of liver biopsy specimens revealed epithelioid cell granuloma and acid-fast bacilli. Therefore, we finally diagnosed the lesion as TB fasciitis that improved with anti-TB drug therapy. The atypical presentation of TB fasciitis demonstrates the clinical importance of eliminating TB infections in immunocompromised hosts.

引用

页码：3205 / 3209

页数：5

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