DOI: 10.36347/sjmcr.2018.v06i03.008

Pages: 144-146

Tuberculous muscle abscess is considered to be a rare tuberculous disease, especially in the absence of associated osteoarticular involvement. This is usually promoted by immunosuppression, immunosuppressive therapy, and a history of muscle trauma the aim of this study is to evaluate the rarity of a giant, isolated intramuscular tuberculous abscess collection and to highlight its management peculiarity. This study reports a case of giant tuberculous abscess. This is a 36 year old young man with localization in the right thigh with intra pelvic extension. Cytobacteriological examination and culture in the LOWENSTEIN and JENSEN environment confirmed the diagnosis, the patient underwent a surgical drainage associated with anti-bacillary medical treatment for 10 months, and the evolution was favorable. Muscular-skeletal abscesses must be mentioned in front of any abscessed musculoskeletal collection in any immunocompromised patient living in a country endemic for tuberculosis, and to make the diagnosis, it is essential to gather all the arguments in favor, as well clinical as biological in order to take care of them with the adequate way and to avoid the complications.