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Tuberculosis of knee joint and tubercular pyomyositis of gastrocnemius muscle.
[pyomyositis]
Extra
-
spinal
musculoskeletal
tuberculosis
(
TB
)
is
rare
and
tubercular
pyomyositis
is
extremely
rare
.
Tuberculosis
of
the
knee
-
joint
is
a
haematogenous
infection
secondary
to
a
focus
of
active
disease
elsewhere
in
the
body
which
may
not
be
found
.
Tubercular
pyomyositis
usually
caused
by
invasion
from
the
adjacent
structures
rather
than
a
secondary
spread
.
Here
we
describe
a
40
years
old
male
patient
who
presented
to
us
with
pain
in
the
right
knee
joint
for
one
and
half
years
and
pain
and
swelling
of
right
calf
muscle
for
fifteen
days
.
He
was
eventually
diagnosed
as
a
case
of
tuberculosis
of
the
right
knee
joint
and
tubercular
pyomyositis
of
right
gastrocnemius
muscle
on
the
basis
of
fine
needle
aspiration
from
the
right
calf
that
showed
caseation
necrosis
with
clusters
of
epithelial
cells
despite
absence
of
systemic
symptoms
,
the
absence
of
other
foci
of
active
tuberculosis
and
a
normal
chest
radiograph
.
