Chest swelling with adenopathy: Don’t forget tuberculosis

Abid, Hamza; Toujani, S.; Ammar, Jamel; Marghli, A.; Slim, L.; Hantous, Saoussen; Àyadi, A.; Hamzaoui, A.

doi:10.1016/j.rmedc.2010.04.001

Cited by 4 publications

(7 citation statements)

References 14 publications

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“…Ultrasound-guided needle aspiration followed by smears or culture, as done in this case, is indicated to determine the underlying cause [ 9 , 10 ]. However, this procedure has its limitations, giving ambiguous results and having a 36.3% success rate for a definite diagnosis.…”

Section: Discussionmentioning

confidence: 99%

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

Yadav

2024

Cureus

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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.

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Section: Discussionmentioning

confidence: 99%

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

Yadav

2024

Cureus

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“…It should be considered in immunocompetent patients 12,13 . The main risk factor is to have a history of TB, which is reported in up to 70-80% of cases 14 . Active TB has been reported to be present in 20-60% of patients with chest wall TB 15 .…”

Section: Discussionmentioning

confidence: 99%

Chest wall soft-tissue tuberculosis: A case report

Álvarez-Moran¹,

Ávila-Sánchez

Fernández-Lara³

2020

HGMX

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Chest wall tuberculosis (TB) is a rare condition, making up 1-5% of all musculoskeletal TB cases. We report a case of a 39-year-old woman with a palpable mass on the right hemithorax with a 3-month evolution. The computed tomography scan showed a mass of 4 cm above the pectoralis major muscle. Complete removal of the tumor was performed, which showed caseous material with positive polymerase chain reaction for Mycobacterium tuberculosis. The patient has not presented any symptoms 6 months after a quadruple-based therapy. We emphasize the fact of suspecting this pathology, when soft-tissue masses are found on the chest wall, due to its rare localization.

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“…The first mechanism is considered to be the least common mechanism, whereas the second is the most common. [6,7] Skeletal tuberculosis is believed to result from either hematogenous or lymphatic dissemination of bacilli from the site of the primary infection in the lung. [22]…”

Section: Discussionmentioning

confidence: 99%

“…Tuberculosis is the great mimicker; it presents differently and affects many organ systems. [7] Its diagnosis remains challenging due to the lack of specificity of symptoms and requires a high index of clinical suspicion with a proper history and physical examination. Laboratory investigations (AFS, PCR, culture), radiography (x-ray, CT scan), and ultrasonography are useful diagnostic tools.…”

Section: Discussionmentioning

confidence: 99%

“…[5] Hematogenous dissemination from activation of a dormant tuberculous focus is the most common pathogenesis of rib tuberculosis. [6,7] Cases of primary chest wall tuberculosis with no other tuberculosis site have also been reported. Diagnosis of abscess of the chest wall may be challenging owing to the difficulty in differentiating them from a pyogenic abscess or chest wall tumor.…”

Section: Introductionmentioning

confidence: 99%

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Tuberculous retropharyngeal abscess with Pott disease and tuberculous abscess of the chest wall

Hsu¹,

Chen

2019

Medicine

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Rationale: Tuberculous retropharyngeal abscess is rare, but it can be fatal if not treated appropriately. It usually occurs secondary to tuberculosis of the cervical spine. Moreover, tuberculous abscess involving the chest wall is relatively rare in skeletal tuberculosis. Although the optimal treatment is controversial, most clinicians suggest a combination of sufficient antituberculous medication and complete resection to prevent recurrence and increase therapeutic efficacy. Herein, we present an unusual case of retropharyngeal abscess with cervical Pott disease and tuberculous abscess of the chest wall. Patient concerns: The patient was a 27-year-old Indonesian woman who had neck pain, dysphagia, and odynophagia, but no neurological deficit. Examination of the oral cavity showed anterior displacement of the posterior pharyngeal wall. The mass over the right anterior chest wall measured approximately 5 × 4 cm in size. Diagnoses: Radiography and computed tomography findings were suggestive of retropharyngeal abscess extending to the cervical spine and chest wall abscess. Interventions: She was admitted to the hospital for treatment. Drainage of the retropharyngeal and chest wall abscesses with debridement of the chest wall was performed. Outcomes: No complications occurred after early surgical treatment and administration of antituberculous medication. The patient recovered well and went back to her own country after discharge. Lessons: Tuberculous retropharyngeal abscess with Pott disease and tuberculous abscess of the chest wall are both complicated diagnoses that physicians have to consider in similar patient presentations.

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Chest swelling with adenopathy: Don’t forget tuberculosis

Cited by 4 publications

References 14 publications

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

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

Chest wall soft-tissue tuberculosis: A case report

Tuberculous retropharyngeal abscess with Pott disease and tuberculous abscess of the chest wall

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