title: Cutaneous metastatic tuberculous abcess in a patient with cervico-mediastinal lymphatic tuberculosis.
abstract: Metastatic tuberculous abcess or tuberculous gumma is a rare form of cutaneous tuberculosis resulting from haematogenous spread from a non-cutaneous tuberculous focus. A 26-year old patient of Pakistani origin presented at our clinic with an abcess on his right thigh that had slowly grown over a period of two months to a total size of 30 cm. Based on clinical findings, microbiology, CT thigh and CT chest, our patient was diagnosed with a tuberculous abcess and cervico-mediastinal tuberculous lymphadenitis. Antituberculosis drugs were initiated. Cutaneous tuberculosis should be included in the differential diagnosis of chronic cutaneous abcesses, especially in patients from tuberculosis endemic nations.
authors.affiliation: Afdeling Radiologie en Medische Beeldvorming, Infectieziekten en Psychosomatiek, Gent, Belgium. Sven.Dekeyzer@UGent.be
authors.forename: S
authors.initials: S
authors.lastname: Dekeyzer
authors.forename: F
authors.initials: F
authors.lastname: Moerman
authors.forename: S
authors.initials: S
authors.lastname: Callens
authors.forename: L
authors.initials: L
authors.lastname: Vandekerckhove
mesh_terms: D000038:Abscess / Q000150:complications* / Q000000981:diagnostic imaging; D000328:Adult; D001365:Axilla; D006801:Humans; D008297:Male; D008482:Mediastinum; D009333:Neck; D013848:Thigh; D014057:Tomography, X-Ray Computed; D014375:Tuberculoma / Q000150:complications* / Q000000981:diagnostic imaging; D014382:Tuberculosis, Cutaneous / Q000150:complications* / Q000000981:diagnostic imaging; D014388:Tuberculosis, Lymph Node / Q000150:complications* / Q000000981:diagnostic imaging