Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Department of General Surgery, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Indian J Med Microbiol. 2024 May-Jun;49:100600. doi: 10.1016/j.ijmmb.2024.100600. Epub 2024 May 3.
Chest wall tuberculosis is a very rare clinical entity that accounts for 1-5% of musculoskeletal tuberculosis (TB). Here we present a case of chest wall TB. A 16-year-old boy presented with complaints of progressive increasing swelling over the right hemithorax following a history of trauma. Radiologically it was a localized liquid collection with no connection to the thoracic cavity. Pus sample was sent to the mycobacteriology laboratory. The Gene Xpert result came as positive, and sensitive to rifampicin while the acid-fast bacilli (AFB) smear test was negative. Diagnosing a case of chest wall TB is always challenging for clinicians.
胸壁结核是一种非常罕见的临床实体，占肌肉骨骼结核（TB）的 1-5%。在这里，我们介绍一个胸壁结核的病例。一名 16 岁男孩因创伤后右侧胸腔逐渐增大的肿胀而就诊。放射学上，这是一个局部的液体积聚，与胸腔没有联系。脓液样本被送到分枝杆菌实验室。Gene Xpert 的结果呈阳性，对利福平敏感，而抗酸杆菌（AFB）涂片检查为阴性。临床医生诊断胸壁结核病例总是具有挑战性。
