title: A Rare Manifestation of Tuberculosis Presenting in the United States.
abstract: A 64-year-old Bangladeshi female presented to her primary care physician with a tender right breast lump that had been present for 4-5 days along with subjective fevers and malaise. Initial biopsy revealed granulomas, but Ziehl-Neelsen and Gram stain were negative for TB so antibiotics were prescribed for abscess until culture came positive for tuberculosis. She was started on triple therapy for extrapulmonary tuberculosis, an exceedingly rare presentation that requires high clinical suspicion in the Western world.
authors.affiliation: Department of Medicine, Creighton University, 601 N 30th Street, Omaha, NE 68131, USA.
authors.forename: Osman
authors.identifier: 0000-0002-5416-6597
authors.initials: O
authors.lastname: Bhatty
authors.affiliation: Department of Medicine, Creighton University, 601 N 30th Street, Omaha, NE 68131, USA.
authors.forename: David
authors.initials: D
authors.lastname: Waters
authors.affiliation: Department of Medicine, Creighton University, 601 N 30th Street, Omaha, NE 68131, USA.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Wilka
authors.affiliation: Department of Medicine, Creighton University, 601 N 30th Street, Omaha, NE 68131, USA.
authors.forename: Shradha
authors.initials: S
authors.lastname: Samuel
authors.affiliation: Department of Medicine, Creighton University, 601 N 30th Street, Omaha, NE 68131, USA.
authors.forename: John
authors.initials: J
authors.lastname: Horne
authors.affiliation: Department of Medicine, Creighton University, 601 N 30th Street, Omaha, NE 68131, USA.
authors.forename: Renuga
authors.initials: R
authors.lastname: Vivekanandan