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 Case Reports |
| A Case of Tuberculous Myositis Complicated with Usual Interstitial Pneumonia |
| In Hee Kim/Heung Bum Lee/Yong Chul Lee/Yang Keun Rhee/Myoung Ja Chung |
| Department of Internal Medicine, Chonbuk National University Medical School, Chonju, Korea. Department of Pathology, Chonbuk National University Medical School, Chonju, Korea. |
Vol.30 Num.4 (p401~405)
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Mycobacterium tuberculosis infrequently infects muscle. We experienced a case of tuberculosis myositis compli-cated with usual interstitial pneumonia(UIP). A 56 year-old male patient was admitted due to erythematous painful swelling on left proximal upper ex-tremity and right inner thigh for 10 months. The level of serum creatine kinase, lactic acid dehydrogenase, serum glutamic oxaloacetic transaminase, serum glutamic pyru-vate transaminase and aldolase were elevated. Electromyo-graphy showed low amplitude, short duration, polyphasic motor unit potentials at left biceps brachii, flexor carpi radialis longus, extensor carpi radialis longus, right adductor longus and early recruitment pattern at right biceps brachii. Mcscle biopy showed the findings compatible with tuberculosis. Interstitial lung disease was suspected on chest x-ray and high-resornance computerized tomography, usual in-terstitial pneumonia(UIP) was confirmed by open lung biopsy. We started anti-tuberculosis medication and pred-nisolone for the treatment of tuberculous myositis and UIP, respectively. After 4 weeks of treatment, patient' s symptoms of myositis were improved. The patient is being followed up for monitoring treatment response to prednisolne for UIP.
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Keywords : Tuberculosis, Myositis |
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