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Related Experiment Videos

Cutaneous tuberculous abscess: a management problem

A Harris1, S Burge, S Williams

  • 1Department of Dermatology, Stoke Mandeville Hospital NHS Trust, Aylesbury, Buckinghamshire, U.K.

The British Journal of Dermatology
|September 1, 1996
PubMed
Summary
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A chest wall ulcer caused by Mycobacterium tuberculosis resisted standard treatment. Surgical intervention was declined, with medication only partially reducing symptoms, highlighting treatment challenges.

Area of Science:

  • Medical Microbiology
  • Pulmonology
  • Infectious Diseases

Background:

  • The case involves a 66-year-old female with a history of treated pulmonary tuberculosis.
  • She presented with a persistent, slow-growing ulcerating lesion on her anterior chest wall.

Observation:

  • Biopsy revealed granulomas and acid-fast bacilli, with cultures confirming Mycobacterium tuberculosis.
  • The organism was sensitive to all standard antitubercular drugs.

Findings:

  • Despite 7 months of isoniazid and rifampicin, the ulcer showed minimal healing.
  • A fistula was identified connecting the ulcer to a plombage mass in the left upper lobe.

Implications:

  • The patient declined surgery due to high risks, opting for continued medical management.

Related Experiment Videos

  • Antitubercular medication reduced discharge but did not achieve complete ulcer healing, indicating complex treatment scenarios.