ABSTRACT
Female patient, 29 years old, with
systemic lupus erythematosus in current use of
prednisone and
azathioprine, presents with bulging in the
forearms,
lumbar region and left
thigh for 15 days.
Ultrasonography and
magnetic resonance imaging showed the presence of serous collections in these locations. The material was punctured and the samples were sent to the
laboratory. The microbiological examination revealed the presence of
acid-resistant bacilli and
blood culture in a specific medium was positive for
Mycobacterium tuberculosis. Molecular and immunochromatographic tests were positive for M. tuberculosis, and the
diagnosis of Tuberculous Piomyositis was closed.
RESUMO
Paciente do
sexo feminino, 29 anos de idade, com
diagnóstico de
lúpus eritematoso sistêmico em uso atual de
prednisona e
azatioprina, se apresenta com abaulamentos em
antebraços,
região lombar e coxa esquerda há 15 dias. A
ultrassonografia e a
ressonância magnética evidenciaram presença de coleções nesses locais cuja punção do material revelou presença de bacilos
álcool ácido resistentes e a
hemocultura, em meio específico, foi positiva para
Mycobacterium tuberculosis. O
teste molecular e imunocromatográfico também foram positivos para M. tuberculosis, com
diagnóstico final de
Piomiosite Tuberculosa.