PDF(Pubmed)
Abstract：
Tubercular pyomyositis is a rare but distinct clinical entity which is difficult to diagnose especially in a patient with underlying autoimmune disease. The treatment is even more challenging if it is a multi-drug resistant strain. Here we report a patient with primary Sjögren\'s syndrome who presented with persistent inflammation of his right arm which was later diagnosed as multi-drug resistant tubercular pyomyositis. This case highlights the need for a high index of suspicion for tuberculosis in all cases of pyomyositis.
摘要：
结核性化脓性肌炎是一种罕见但独特的临床实体，难以诊断，尤其是在患有潜在自身免疫性疾病的患者中。如果它是多药耐药菌株，则治疗更具挑战性。在这里，我们报告了一名患有原发性干燥综合征的患者，他的右臂持续发炎，后来被诊断为多药耐药的结核性化脓性肌炎。此病例突出表明，在所有化脓性肌炎病例中，都需要高度怀疑结核病。
