# Musculoskeletal Tuberculosis of the Pectoralis With Bilateral Pleural Base Nodular Lesions: A Rare Report of Its Type in an Immunocompetent Female

## TL;DR

A rare case of musculoskeletal tuberculosis in the pectoralis muscle with pleural nodules is reported in a healthy female.

## Contribution

This is the first reported case of pectoralis tuberculosis with bilateral pleural base nodules in an immunocompetent female.

## Key findings

- Musculoskeletal tuberculosis was diagnosed through clinical examination and radiometric tests.
- The case highlights the rarity of pectoralis tuberculosis in immunocompetent individuals.
- Antituberculous chemotherapy was effective in managing the condition.

## Abstract

Musculoskeletal tuberculosis is a rare infection caused by Mycobacterium tuberculosis. This type of extrapulmonary tuberculosis is mainly attributed to hematogenous infection or direct inoculation and is usually seen in immunocompromised individuals. Here, a case of musculoskeletal tuberculosis of the right pectoralis with bilateral pleural base nodular lesions in an immunocompetent female is presented. A challenging diagnosis was achieved through a detailed clinical examination, aspiration of the pus, and radiometric investigations. Management was done through antituberculous chemotherapy per the national guidelines. Further, a detailed literature review revealed that tuberculosis of the pectoralis with bilateral pleural base nodular lesions is never reported in an immunocompetent female.