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The Journal of Bone and Joint Surgery 80:1521-4 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Tuberculous Abscess of the Brachialis and Biceps Brachii Muscles without Osseous Involvement. A Case Report*

IBRAHIM FIKRY ABDELWAHAB, M.D.{dagger} and SAMUEL KENAN, M.D.{ddagger}, NEW YORK, N.Y.

Investigation performed at the Hospital for Joint Diseases Orthopaedic Institute, New York City


   Introduction
 
Tuberculosis of the soft tissue overlying bone can occasionally occur without osseous involvement, as it does in tuberculous bursitis and in tenosynovitis. However, the selective involvement of muscles by a tuberculous process without coexisting active skeletal or extraskeletal tuberculosis is rarely seen. We present the case of a patient who had such involvement.


   Case Report
 
A forty-seven-year-old black woman who was working as a corrections officer in a prison in upstate New York had an evaluation of a gradually enlarging soft-tissue mass over the elbow and the anteromedial aspect of the distal part of the right arm. The mass had been present for three months. During the third month, it had grown more rapidly than before and the patient had had local pain and had been unable to extend the elbow fully. She had never resided outside North America. Apart from a hysterectomy, the medical history of this patient was unremarkable. She . . . [Full Text of this Article]


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