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Title: Cold abscess of the chest wall: A diagnostic challenge. Author: Moyano-Bueno D, Blanco JF, López-Bernus A, Gutiérrez-Zubiaurre N, Gomez Ruiz V, Velasco-Tirado V, Belhassen-García M. Journal: Int J Infect Dis; 2019 Aug; 85():108-110. PubMed ID: 31163270. Abstract: Tuberculosis of the chest wall represents less than 5% of cases of musculoskeletal tuberculosis. We present the case of a patient with a cold abscess in the pectoral region due to Mycobacterium tuberculosis. A 29-year-old male of Senegalese origin reported a progressive increase in size of the right hemi-thorax without trauma or previous effort. A liquid collection of 14cm on the major axis, between the pectoralis major muscle and the costal wall, was demonstrated on magnetic resonance imaging. Surgical debridement revealed a marked granulomatous inflammatory reaction with focal necrosis; PCR was positive for M. tuberculosis complex and culture subsequently grew M. tuberculosis complex. Specific treatment for tuberculosis achieved a good clinical outcome. The diagnosis of tuberculosis of the chest wall is always difficult, being a clinical challenge.[Abstract] [Full Text] [Related] [New Search]