scholarly journals Breast tuberculosis: a rare manifestation of extrapulmonary tuberculosis

2009 ◽  
Vol 14 (1) ◽  
pp. 69
Author(s):  
MTM Ashfaq ◽  
Wasantha Kodikara Arachchi
2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Ali H. Baykan ◽  
Hakan S. Sayiner ◽  
Ibrahim Inan ◽  
Elcin Aydin ◽  
Sukru M. Erturk

AbstractBreast tuberculosis is a rare form of extrapulmonary tuberculosis which tends to affect females of reproductive age, and is much rarer in males, postmenopausal women, and pre-pubescent girls. It is difficult to diagnose because it can mimic benign conditions such as a fibroadenoma, as well as malignant diseases like a carcinoma. It is also particularly difficult to distinguish breast tuberculosis from granulomatous mastitis, so other possible diagnoses should be ruled out first. The diagnosis of breast tuberculosis has three essential pillars: clinical examination, radiological evaluations, and histopathological sampling. Radiological evaluations are not only critical in diagnosis but are also important in the planning of the treatment and during the follow-up. This paper aims to review the imaging findings and the differential diagnosis of breast tuberculosis.


2017 ◽  
Vol 7 (1) ◽  
pp. 132-137
Author(s):  
José Antonio de Jesús Batún-Garrido ◽  
Marisol Salas-Magaña ◽  
Oscar Alejandro García-Padrón ◽  
Nicolás Valencia-Serrano

2020 ◽  
Author(s):  
Yuanhua Li ◽  
Suhuan Liao ◽  
Haijun Zuo ◽  
Wei Yang ◽  
Di Jiang

Abstract Background: Tuberculosis (TB) is a major health problem worldwide. Even in highly prevalent countries, primary gastroduodenal tuberculosis is a rare manifestation of extrapulmonary tuberculosis. In recent years, as the incidence of tuberculosis has increased year by year, the occur of gastroduodenal tuberculosis has also increased. Endoscopy is an important tool for diagnosing gastroduodenal tuberculosis. The performance of gastroduodenal tuberculosis under endoscopy is often non-specific, which may imitate other benign or malignant gastroduodenal diseases. Diagnosis of gastroduodenal tuberculosis relies on a combination of endoscopy and guided biopsy. Case presentation: Here, we report a rare and interesting case of gastroduodenal tuberculosis with acute pancreatitis. The case initially mimicked gastroduodenal ulcers in morphology and appeared in a middle-aged person with normal immunity but with prolonged fever and abdominal pain. The disease was diagnosed through endoscopy and guided biopsy, and it responded well to antituberculosis drugs. Conclusions: Clinicians must remember that even in the absence of immunodeficiency, as in this case, tuberculosis can affect any part of the gastrointestinal tract.


2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Yuanhua Li ◽  
Suhuan Liao ◽  
Haijun Zuo ◽  
Wei Yang ◽  
Di Jiang

Abstract Background Tuberculosis (TB) is a major health problem worldwide. Even in highly prevalent countries, primary gastroduodenal tuberculosis is a rare manifestation of extrapulmonary tuberculosis. In recent years, as the incidence of tuberculosis has increased year by year, the occur of gastroduodenal tuberculosis has also increased. Endoscopy is an important tool for diagnosing gastroduodenal tuberculosis. The performance of gastroduodenal tuberculosis under endoscopy is often non-specific, which may imitate other benign or malignant gastroduodenal diseases. Diagnosis of gastroduodenal tuberculosis relies on a combination of endoscopy and guided biopsy. Case presentation Here, we report a rare and interesting case of gastroduodenal tuberculosis with acute pancreatitis. The case initially mimicked gastroduodenal ulcers in morphology and appeared in a middle-aged person with normal immunity but with prolonged fever and abdominal pain. The disease was diagnosed through endoscopy and guided biopsy, and it responded well to antituberculosis drugs. Conclusions Clinicians must remember that even in the absence of immunodeficiency, as in this case, tuberculosis can affect any part of the gastrointestinal tract.


2021 ◽  
pp. 1-2
Author(s):  
S Sialiti ◽  
◽  
K Znati ◽  

Breast tuberculosis is a rare form of extrapulmonary tuberculosis, even in endemic countries. Its frequency is low both in tuberculosis localization (0.06 to 0.1%) as well as in breast disease (0.025 to 4.5%)


Author(s):  
Sivanes Chandrashekaran ◽  
Mohd Syukra bin Abd Ghani

Nasopharyngeal tuberculosis is indeed a rare manifestation of extrapulmonary tuberculosis. The general symptoms of nasopharyngeal tuberculosis are nasal obstruction, neck mass, epitaxis, rhinorrhoea, otalgia and hearing loss. Constitutional symptoms may present in almost 12-30% of nasopharyngeal tuberculosis cases, hence it often disguise as nasopharyngeal carcinoma in patients. Apart from that, most cases of nasopharyngeal tuberculosis usually occur with combined active pulmonary tuberculosis or systemic infection. Hereby presenting a case of nasopharyngeal tuberculosis in a lady who is otherwise healthy presented with neck mass for duration of two months with no obstructive symptoms. Upon proceeding with rigid nasal endoscopy, obliteration of fossa of rossenmuller was noted and biopsy confirmed tuberculosis. Patient was immediately started on antituberculosis therapy. Upon subsequent follow ups, resolution of the neck mass was noted. Hence, it is crucial to have a high index of suspiciousness to rule out nasopharyngeal tuberculosis as this is a curable disease and failure to do so can pave way for the deathly pathogen to disseminate in its host and cause mortality.


2020 ◽  
Vol 9 (1) ◽  
pp. 75
Author(s):  
PrateekKumar Panda ◽  
KSushrith Kumar Yadav ◽  
AmanKumar Agrawal ◽  
SebaRanjan Biswal ◽  
Pragnya Panda ◽  
...  

Author(s):  
Swagata Brahmachari ◽  
Shashwati Nema ◽  
Padma . ◽  
VK Ramnani ◽  
Vaishali Bhagat ◽  
...  

Background: Breast tuberculosis is a rare extra pulmonary tuberculosis presentation usually misdiagnosed as carcinoma, pyogenic abscess or idiopathic granulomatous mastitis. Detection of tubercular bacilli by ZN stain, culture and CBNAAT along with caseating granuloma on histopathology helps in diagnosis. Aims and Objectives: To study the clinico-pathological characteristic of breast tuberculosis and diagnostic accuracy of CBNAAT for early and specific diagnosis in reference to histopathological test  Material and Methods: 38 cases of BTB between August2012 to July 2017 were studied. Culture for acid-fast bacilli, smear positivity on Z-N staining, CBNAAT, and cytological and histological examination was done for confirmation.  Results: Prevalence of BTB in this study was found to be 3.95% .The risk factors were reproductive age (20-35), multiparity, lactation and low socioeconomic status. Unilateral lump in the upper outer and central quadrant of the breast was the commonest observation. Only 34.2% were diagnosed provisionally as BTB rest 73.68% were misdiagnosed as fibroadenoma, breast abscess and malignancy Clinically nodulo-caseous variety(55.6 %) disseminated (18.4%) and tubercular abscess (26.3%) were seen. Sensitivity of ZN staining, culture, FNAC and histopathology is 15.8%,5.8%, 74% ,100%respectively. Sensitivity, specificity, positive predictive value, and negative predictive value for the CBNAAT test were 81.818%, 93.103%, 93.10%, and 81.82% respectively.39.4% were cured completely with ATT with 60.52% with residual lesions needed surgery Conclusion: This study highlights the importance of early diagnosis and aggressive medical and if required surgical management to cure this disease. CBNAAT should be used as an additional test to conventional smear microscopy, culture, FNAC and histology. Keywords: Breast tuberculosis, CBNAAT, Extrapulmonary tuberculosis, breast lump


2018 ◽  
Vol 5 (2) ◽  
pp. 562
Author(s):  
Manmeet Kaur ◽  
Saurabh Kumar ◽  
Alok V. Mathur ◽  
Rajnish Kumar

Background: Tuberculosis breast is a less known form of extrapulmonary tuberculosis. It poses diagnostic difficulties and confused with breast carcinoma and pyogenic abscess. Objective of the study was to determine the varied presentations of breast tuberculosis, diagnostic difficulties and surgical treatments.Methods: Study was conducted in Department of Surgery at Shri Guru Ram Rai Institute of Health and Medical Sciences, Dehradun, Uttarakhand, India. 651 patients with breast diseases over two years from September 2015- August 2017 were seen at the institution out of which 31 clinically diagnosed patients of breast tuberculosis, confirmed by laboratory work-up, were included in this study. Information regarding demographic details, clinical presentation, cytology, histopathology and management was noted.Results: All patients were females with mean age of 32.5years and out of them 15(48.38%) patients were having breast abscess, 10(32.25%) presented with lump breast and 6(19.35%) with lump with multiple draining sinuses and scars. 27(87.1%) patients had primary breast tuberculosis. Histopathology and TB-PCR reliably helped in diagnosing the disease.Conclusions: The presentation of breast TB is variable, and diagnosis is usually delayed. It should always be kept in mind as differential diagnosis of breast lump and pyogenic abscess. The disease can be diagnosed through pathological tests and a high suspicion. The definite treatment is adequate anti-tuberculosis chemotherapy and surgical excision or drainage especially in recurrent abscesses. 


2018 ◽  
Author(s):  
Kursat Arslan ◽  
Ufuk Taner ◽  
Suleyman Cagan Efe ◽  
Burak Ayca ◽  
Turgut Karabag

Tuberculosis-associated pericardial disorders are an excessively rare manifestation of extrapulmonary tuberculosis. The patients may present with constrictive pericarditis or pericardial fluid accumulation leading to cardiac tamponade. This paper reports a case of tuberculosis-associated pericardial effusion with dense fibrinous material not causing tamponade in a foreigner presenting with nonspecific symptoms. It also provides a discussion about the diagnostic and therapeutic methods as well as interesting echocardiographic images of the patient.


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