A Case of Cold Abscess of the Chest Wall
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Accession number;06A0338781
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| Title;A Case of Cold Abscess of the Chest Wall |
| Author;
NISHIMURA YUKIHIDE
(Kyoto Prefectural Univ. Medicine, JPN)
NARA TAKESHI
(Kyoto Prefectural Univ. Medicine, JPN)
SUEHIRO MITSUHIRO
(Kyoto Prefectural Univ. Medicine, JPN)
TAKENAKA HIDEYA
(Kyoto Prefectural Univ. Medicine, JPN)
KATO NORITO
(Kyoto Prefectural Univ. Medicine, JPN)
KISHIMOTO SABURO
(Kyoto Prefectural Univ. Medicine, JPN)
NAGATA KAZUHIRO
(Kyoto Prefectural Univ. Medicine, JPN)
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Journal Title;Skin Research
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Journal Code:Z0014C
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ISSN:1347-1813
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VOL.5;NO.1;PAGE.15-18(2006)
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| Figure&Table&Reference;FIG.5, REF.9 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;A 69-year-old woman who had suffered from subclinical tuberculosis of the chest and abdomen for several years was referred to our hospital because of continual mild fever and upper right chest and back pain that had lasted for a month. She had a subcutaneous nodule on her right upper back. Chest CT revealed a low-density area measuring 3 * 2 cm in the outer region of the right chest wall close to the 9th rib. A diagnosis of tuberculosis was made based on a needle biopsy. Chemotherapy with anti-tuberculous drugs (RFP, INH, EB) was started, and the size of the nodule gradually decreased over 5 months. However, the nodule then began to enlarge and reached a size of 5 * 3 cm, at which time the patient had a cold abscess that showed fluctuation and tenderness. On incision of the cold abscess under local anesthesia, a yellowish seropurulent fluid was obtained from the abscess. Acid-fast bacillus was not detected in a culture of fluid from the abscess, but Ziehl-Neelsen staining was positive and Mycobacterium tuberculosis was detected by polymerase chain reaction (PCR). The abscess was drained every day and the wound was closed about a month later. We have seen no signs of recurrence to date. (author abst.) |
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