Multiple tuberculous abscesses and mediastinal lymphadenitis with no pulmonary involvement in an immunocompetent patient.
Tubercular cold abscesses secondary to neighbouring bone involvement are a well-known clinical manifestation of extra-pulmonary tuberculosis. However, primary soft tissue tuberculous abscesses with no pulmonary involvement in immuno-competent patients are very uncommon. A rare case of multiple primary intrathoracic and extraperitoneal soft tissue tuberculous abscesses and mediastinal lymph node tuberculosis with no pulmonary involvement is reported. This case demonstrates the need for a high index of suspicion for such rare presentations of extra-pulmonary tuberculosis in patients from endemic areas.
7th Respiratory Department and Asthma Centre, Athens Chest Hospital, Athens, Greece. k.samitas@yahoo.com
K
K
Samitas
E
E
Marinakis
C
C
Birbilis
L
L
Thanos
E
E
Zervas
M
M
Gaga
E
E
Diamanti-Kandarakis
D000038:Abscess / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D044963:Biopsy, Fine-Needle; D003937:Diagnosis, Differential; D006801:Humans; D016867:Immunocompromised Host; D008198:Lymph Nodes / Q000382:microbiology / Q000473:pathology; D008199:Lymphadenitis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D008297:Male; D008482:Mediastinum; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed; D014388:Tuberculosis, Lymph Node / Q000150:complications / Q000175:diagnosis*; D055815:Young Adult