Mycobacterium phlei abscesses

Case contributed by Hani Makky Al Salam
Diagnosis almost certain

Presentation

Patient presented with fever, night sweat, weight loss and right anterior chest wall swelling.

Patient Data

Age: 25 years
Gender: Male
x-ray

Soft tissue swelling over the right anterior thorax. Opacity projects over the right hilum. 

A multiloculated subcutaneous subpectoral necrotic lesion that extends into the right lower hemithorax with adjacent rib destruction. No intrapulmonary parenchymal infiltration. Another multiloculated necrotic lesion is noted at the right paraspinal area extending along the right side of the vertebral body of T5 and T6.

Case Discussion

Mycobacterium phlei was isolated.

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