Rare Diseases Symptoms Automatic Extraction

Primary tuberculous pyomyositis of quadriceps femoris in an immunocompetent individual.

[pyomyositis]

Primary tuberculous pyomyositis is a rare manifestation of musculoskeletal tuberculosis especially in immunocompetent individuals without a focus of tuberculosis in the body and the underlying bone disease. It can cause a diagnostic dilemma for a physician and surgeon because of its similar presentation to soft tissue sarcomas, hematomas, and myopathies. We present a case of a 45-year-old immunocompetant gentleman with a thigh swelling with sepsis due to pyomyositis of the quadriceps requiring a multimodal management of drainage of abscess, debridement of devitalized muscle, antitubercular drugs, and physiotherapy. In a tubercular endemic country, a high index of suspicion is required to diagnose this disease which can be cured completely.

Diseases presenting "high index" symptom

  • alexander disease
  • allergic bronchopulmonary aspergillosis
  • carcinoma of the gallbladder
  • child syndrome
  • cowden syndrome
  • cushing syndrome
  • cystinuria
  • epidermolysis bullosa simplex
  • erdheim-chester disease
  • hirschsprung disease
  • lamellar ichthyosis
  • lymphangioleiomyomatosis
  • malignant atrophic papulosis
  • pleomorphic liposarcoma
  • pyomyositis
  • scrub typhus
  • typhoid
  • well-differentiated liposarcoma
  • wiskott-aldrich syndrome

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