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Case Reports in Infectious Diseases
Volume 2013 (2013), Article ID 723879, 4 pages
Case Report

Primary Tuberculous Pyomyositis of Quadriceps Femoris in an Immunocompetent Individual

Department of General Surgery, Seth GS Medical College and KEM Hospital, Parel, Mumbai 400012, India

Received 9 August 2013; Accepted 22 October 2013

Academic Editors: W. I. van der Meijden and L. Yamuah

Copyright © 2013 M. A. Modi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.