# Isolated Pyomyositis of the Thigh With a Sinus Tract: A Rare Presentation of Tuberculosis

## TL;DR

A young woman had a rare case of thigh tuberculosis that formed a sinus tract and was successfully treated with surgery and medication.

## Contribution

This case highlights a rare presentation of primary tubercular pyomyositis without bone involvement in an immunocompetent individual.

## Key findings

- The patient had a discharging sinus in the thigh for eight months due to isolated pyomyositis from tuberculosis.
- Surgical debridement and antitubercular therapy led to full recovery.
- Such cases pose challenges in both diagnosis and treatment.

## Abstract

Muscular tuberculosis as a primary focal lesion in an immunocompetent individual without any underlying bone involvement is a rare finding. The authors present a case of a young female in her 30s who presented with complaints of recurrent discharging sinus in the posteromedial aspect of the proximal right thigh for eight months. The patient was treated by surgical debridement followed by antitubercular therapy (ATT) and has shown full recovery during the post-eight-month treatment period. Such a presentation of primary tubercular pyomyositis imposes a diagnostic as well as a therapeutic challenge.