Usual infection at unusual site: diagnosed on cytology

The chest wall tuberculosis (TB) is an uncommon form of tuberculosis especially in an immunocompetent patient. It constitutes 1–2% of all cases of TB and 1–5% of musculoskeletal TB. The hematogenous spread, lymphatic spread, direct inoculation of tubercular bacilli, or extension of underlying pleura...

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Main Authors: Pooja Garg, Jitendra S Nigam, Shibojit Talukder, Rakesh Kumar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Egyptian Journal of Chest Disease and Tuberculosis
Subjects:
Online Access:http://www.ejcdt.eg.net/article.asp?issn=0422-7638;year=2018;volume=67;issue=3;spage=329;epage=331;aulast=Garg
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author Pooja Garg
Jitendra S Nigam
Shibojit Talukder
Rakesh Kumar
author_facet Pooja Garg
Jitendra S Nigam
Shibojit Talukder
Rakesh Kumar
author_sort Pooja Garg
collection DOAJ
description The chest wall tuberculosis (TB) is an uncommon form of tuberculosis especially in an immunocompetent patient. It constitutes 1–2% of all cases of TB and 1–5% of musculoskeletal TB. The hematogenous spread, lymphatic spread, direct inoculation of tubercular bacilli, or extension of underlying pleura-pulmonary TB are the modes of chest wall TB infection. The clinical presentation of chest wall TB may mimics pyogenic abscess. The fine-needle aspiration cytology is helpful in all cases of abscess not responding to adequate antibiotic treatment and also to rule out mycobacterial infection. We report a case in healthy immunocompetent individual presented with tender swelling over the chest wall diagnosed as primary tubercular lesion on fine-needle aspiration cytology.
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spelling doaj.art-24fb1e1289f44702b5eb162f819c93752022-12-22T00:49:32ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382090-99502018-01-0167332933110.4103/ejcdt.ejcdt_48_18Usual infection at unusual site: diagnosed on cytologyPooja GargJitendra S NigamShibojit TalukderRakesh KumarThe chest wall tuberculosis (TB) is an uncommon form of tuberculosis especially in an immunocompetent patient. It constitutes 1–2% of all cases of TB and 1–5% of musculoskeletal TB. The hematogenous spread, lymphatic spread, direct inoculation of tubercular bacilli, or extension of underlying pleura-pulmonary TB are the modes of chest wall TB infection. The clinical presentation of chest wall TB may mimics pyogenic abscess. The fine-needle aspiration cytology is helpful in all cases of abscess not responding to adequate antibiotic treatment and also to rule out mycobacterial infection. We report a case in healthy immunocompetent individual presented with tender swelling over the chest wall diagnosed as primary tubercular lesion on fine-needle aspiration cytology.http://www.ejcdt.eg.net/article.asp?issn=0422-7638;year=2018;volume=67;issue=3;spage=329;epage=331;aulast=Gargchest walllungpleuraribssternum
spellingShingle Pooja Garg
Jitendra S Nigam
Shibojit Talukder
Rakesh Kumar
Usual infection at unusual site: diagnosed on cytology
Egyptian Journal of Chest Disease and Tuberculosis
chest wall
lung
pleura
ribs
sternum
title Usual infection at unusual site: diagnosed on cytology
title_full Usual infection at unusual site: diagnosed on cytology
title_fullStr Usual infection at unusual site: diagnosed on cytology
title_full_unstemmed Usual infection at unusual site: diagnosed on cytology
title_short Usual infection at unusual site: diagnosed on cytology
title_sort usual infection at unusual site diagnosed on cytology
topic chest wall
lung
pleura
ribs
sternum
url http://www.ejcdt.eg.net/article.asp?issn=0422-7638;year=2018;volume=67;issue=3;spage=329;epage=331;aulast=Garg
work_keys_str_mv AT poojagarg usualinfectionatunusualsitediagnosedoncytology
AT jitendrasnigam usualinfectionatunusualsitediagnosedoncytology
AT shibojittalukder usualinfectionatunusualsitediagnosedoncytology
AT rakeshkumar usualinfectionatunusualsitediagnosedoncytology