Tuberculosis with chest wall cold abscess

Case contributed by Dr Ian Bickle

Presentation

Mass on posterior aspect of back for 2 months. On admission low grade fever.

Patient Data

Age: 20
Gender: Male

Large multi-loculated thick-walled abscess on the posterior aspect of the left chest wall and flank.

Left apical fibrosis and focal consolidation. Left upper lobe cavity 13 mm across.

Minor right apical consolidation.

Consolidation in the lateral segment of the right middle lobe.

Left-sided pleural thickening and small pleural collection.

No significant mediastinal nodes.

Case Discussion

The chest wall abscess was aspirated yielding 500 mL of pus. An abundance of acid fast bacilli were observed on microscopy, confirming the diagnosis of tuberculosis.

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Case information

rID: 53110
Case created: 1st May 2017
Last edited: 5th Sep 2017
System: Chest
Inclusion in quiz mode: Included

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