Department of Family Medicine and Department of Surgery, Brian D. Allgood Army Community Hospital, U.S. Army Garrison Humphreys, 549th Hospital Center Unit #15245, APO, AP, 96271-5245, South Korea.
Mil Med. 2021 Jan 30;186(3-4):e457-e460. doi: 10.1093/milmed/usaa366.
Cutaneous tuberculosis (TB) is an uncommon form of extrapulmonary TB that can be difficult to diagnose. The following case is about a 14-year-old female who was experiencing delayed wound healing after an incision and drainage of a chest wall abscess. A computed tomography scan of her chest obtained 2 months after the procedure revealed pulmonary findings consistent with TB. An acid-fast bacilli culture was obtained from the wound after the computed tomography scan was performed and was positive for Mycobacterium tuberculosis 8 weeks later. Although TB is relatively uncommon in the United States, it is more prevalent in the Republic of Korea where the patient lives and was evaluated. This case serves to illustrate the long history of challenges the military medical community has faced with TB and to remind providers to be cognizant about local common diseases when serving overseas and include these diagnoses in their differentials.
皮肤结核（TB）是一种罕见的肺外结核形式，难以诊断。以下病例是关于一名 14 岁女性，她在切开引流胸壁脓肿后出现伤口愈合延迟。在手术后 2 个月进行的胸部计算机断层扫描显示与结核一致的肺部发现。在进行计算机断层扫描后从伤口中获得了抗酸杆菌培养物，8 周后对结核分枝杆菌呈阳性。尽管在美国，结核相对少见，但在患者所在的韩国更为普遍，因此进行了评估。该病例说明了美军医疗界在结核方面所面临的悠久挑战历史，并提醒医务人员在海外服务时要注意当地常见疾病，并将这些诊断纳入鉴别诊断。
