Department of Internal Medicine, MES Medical College, Perinthalmanna, Kerala, India.
Int J Mycobacteriol. 2020 Jan-Mar;9(1):98-99. doi: 10.4103/ijmy.ijmy_183_19.
Extrapulmonary tuberculosis (TB) is rare in immunocompetent healthy adults. TB of the chest wall accounts for 1%-5% of all cases of musculoskeletal TB. Psoas abscess can be either primary or secondary to diseases like Pott's spine. We describe a patient with massive lower chest wall abscess extending to abdominal muscles and an asymptomatic large psoas abscess detected on imaging due to spine TB which responded well to antitubercular therapy and drainage without surgical measures. The concomitant presence of a massive chest wall abscess and psoas abscess due to TB in an immunocompetent patient was not reported previously.
肺外结核（TB）在免疫功能正常的健康成年人中较为罕见。胸壁结核占骨骼肌肉结核的 1%-5%。腰大肌脓肿可以是原发性的，也可以是继发于脊柱结核等疾病。我们描述了一例因脊柱结核导致下胸壁巨大脓肿蔓延至腹肌和无症状的大腰大肌脓肿的患者，该患者经抗结核治疗和引流后无需手术即可痊愈。此前尚未有报道称免疫功能正常的患者同时因 TB 出现巨大胸壁脓肿和腰大肌脓肿。
