title: Atypical post operative discharging sinus - a case report.
abstract: Surgical site infections (SSIs) are the second most common health care associated infection reported to the National Health Safety Network of the centre of disease control and prevention. SSIs by Mycobacterium tuberculosis are uncommon and diagnosis can be missed. Our patient had primary tuberculosis at surgical site without any evidence of tuberculosis at initial investigation. She presented with repeated discharging sinus at the wound of elective lower uterine caesarean section (LUCS). The case was diagnosed by histo-pathological evidence of chronic granulomatous lesion suggestive of tuberculosis from the excised tissue from wound and detection of acid fast bacilli (AFB) from swab by Ziehl Neelsen staining. After proper diagnosis the patient was treated with anti-tubercular drugs regiment for six months as per schedule of national guidelines for management of tuberculosis of Bangladesh Government. Then the patient was cured from unusual long sufferings.
authors.affiliation: Dr Syeda Nazia Akhter, Assistant Professor, Department of Gynae & Obs, ICMH, Dhaka, Bangladesh.
authors.forename: S N
authors.initials: SN
authors.lastname: Akhter
authors.forename: N S
authors.initials: NS
authors.lastname: Khondker
authors.forename: S
authors.initials: S
authors.lastname: Tasneem
mesh_terms: D001459:Bangladesh; D005260:Female; D006801:Humans; D009169:Mycobacterium tuberculosis; D011184:Postoperative Period; D011247:Pregnancy; D013530:Surgical Wound Infection; D014376:Tuberculosis