Tuberculous pyomyositis of the temporal muscle in a nonimmunocompromised woman: diagnosis by sonography
Chih-Kai Chu M.D. a1, Tsung-Lin Yang M.D. a2andChing-Ting Tan M.D., Ph.D. a2 a1 Department of Otolaryngology, Lo-Tung Poh-Ai Hospital, Ilan 265, Taiwan. a2 Department of Otolaryngology, National Taiwan University College of Medicine, Taipei 100, Taiwan.
Pyomyositis (PM) is an uncommon cause of acute bacterial infection occurring in skeletal muscle. This disease is rare in non-tropical areas, and PM caused by Mycobacterium is very rare in a non-immunocompromised person. The presence of temporal area swelling may lead to a differential diagnosis toward more common pathologies, such as a complication of mastoiditis or a neoplasm of the temporal area. This article describes a case of tuberculous pyomyositis in a non-immunocompromised woman, the diagnosis of which was confirmed by sonographically guided fine-needle aspiration.