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Updated: Aug 8, 2025

A Tuberculosis Molecular Bacterial Load Assay TB-MBLA

A Tuberculosis Molecular Bacterial Load Assay TB-MBLA

Published on: April 30, 2020

Breast Tuberculosis: A Case Report.

Margarida Pimentel Nunes¹, Inês Branco Carvalho¹, Isabel Araújo¹

¹Internal Medicine Department, Hospital Beatriz Ângelo, Loures, PRT.

|February 27, 2023

Summary

Breast tuberculosis (BTB) is a rare condition that can mimic other breast diseases. Early diagnosis of this mycobacterial infection is crucial for effective treatment.

Keywords:

breast abscess breast cancer differential diagnosis breast tuberculosis mastitis mycobacterium tuberculosis.scrofula

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Diagnosing Pulmonary Tuberculosis with the Xpert MTB/RIF Test

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Area of Science:

Infectious Diseases
Oncology
Radiology

Background:

Breast tuberculosis (BTB) is an uncommon form of extrapulmonary tuberculosis (TB).
BTB often presents with non-specific symptoms, potentially delaying diagnosis.

Observation:

A 36-year-old woman with a history of breast reduction surgery presented with worsening breast enlargement, pain, purulent discharge, fever, and abdominal pain.
Imaging revealed a large fluid collection with abscesses, adenopathies, and fistulae.
Initial cultures were sterile, but lymph node biopsy identified *Mycobacterium tuberculosis* (Mt).

Findings:

The case highlights the diagnostic challenges of BTB, which can mimic bacterial abscesses or malignancy.
Cultures from drained fluid were negative for common pathogens, delaying definitive diagnosis.
Histopathology and culture from lymph node biopsy confirmed *Mycobacterium tuberculosis*.

Implications:

A high index of suspicion for BTB is essential in endemic areas, especially with atypical presentations.
Accurate and timely diagnosis of BTB is critical for appropriate antimicrobial therapy and patient management.
This case underscores the importance of considering rare infections in differential diagnoses of complex breast conditions.