Cystic Tuberculosis of Superior Lateral Part of the Left Thigh

Abstract- As dissemination of Tuberculosis (TB) to soft tissue is not a usual finding, sometimes it is not considered for differential diagnosis and, if so, is overlooked by most health care professionals. Although rare, TB should be considered in the differential diagnosis of cysts of the thigh, es...

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Bibliographic Details
Published in:Acta medica Iranica 2019, Vol.57 (6), p.402
Main Authors: Najari, Hamidreza, Hosseinzadeh, Shokrollah, Allami, Abbas
Format: Article
Language:English
Subjects:
Antibiotics
Blood
Case study
Cyst
Cysts
Disease prevention
Infections
Infectious diseases
Laboratories
Magnetic resonance imaging
Microscopy
Pathology
Polymerase chain reaction
Surgery
Thigh
Tuberculosis
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Summary:Abstract- As dissemination of Tuberculosis (TB) to soft tissue is not a usual finding, sometimes it is not considered for differential diagnosis and, if so, is overlooked by most health care professionals. Although rare, TB should be considered in the differential diagnosis of cysts of the thigh, especially in endemic areas. We report the case of an 80-year-old female presented with cyst with purulent discharge in her lateral left thigh that was persistent to other surgical and antibiotic treatments. Polymerase chain reaction (PCR) showed positive results for TB. Anti-tubercular therapy had promising results. Our case serves to highlight the importance of considering a reactivated TB infection in individuals with chronic discharge, especially if symptoms are not classic or fail to respond to conventional therapy. Histological study and MRI are useful tools to guide diagnosis, with confirmation provided by PCR.
ISSN:0044-6025
1735-9694
DOI:10.18502/acta.v57i6.1888