Anterior Chest Wall Tuberculosis Involving Lungs, Pleura and Lymph Nodes in an Immunocompetent Patient: A Case Report
Ashok K. Gupta *
Department of Pulmonary Medicine, Christian Medical College & Hospital, Ludhiana, Baba Farid University of Health Sciences, Faridkot, Punjab, India.
Pradeep Sharma
Department of Pulmonary Medicine, Christian Medical College & Hospital, Ludhiana, Baba Farid University of Health Sciences, Faridkot, Punjab, India.
Neeru Mittal
Department of Pulmonary Medicine, Christian Medical College & Hospital, Ludhiana, Baba Farid University of Health Sciences, Faridkot, Punjab, India.
*Author to whom correspondence should be addressed.
Abstract
Aims: The chest wall tuberculosis accounts for 1-5% of all cases of musculoskeletal tuberculosis. Here we are presenting a rare case of anterior chest wall tuberculosis in an immunocompetent patient.
Presentation of Case: A 20-year-old male came for routine medical check-up, which was prerequisite for his job. He had no respiratory complaints with no history of fever and weight loss. Local examination revealed a swelling over the right chest in the infraclavicular region.
Discussion: Tubercular anterior chest wall abscess is a rare form of extra pulmonary TB. Simultaneous involvement of lung, pleura and lymph nodes of mediastinum, neck and axilla has rarely been reported in an immunocompetent individual.
Conclusion: Cold abscess of chest wall is not common. Anti-tubercular therapy should be recommended as initial treatment.
Keywords: Chest wall, immunocompetent patient, tubercular abscess, lymph nodes, pleura