Les abcès froids tuberculeux chez le sujet immunocompétent

Kallel, N.; Saad, S. Ben; Mansour, A. Ben; Gharsalli, H.; Gharbi, L. El; Daghfous, H.; Tritar, F.

doi:10.1016/j.rmr.2017.10.632

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“…Subcutaneous tuberculous cold abscesses are a rare and unusual form of tuberculosis accounting for 1% of the extra pulmonary form of the disease [ 4 ]. They are most commonly described in patients with severe and disseminated tuberculosis, especially during human immunodeficiency virus (HIV) infection [ [5] , [6] , [7] ].…”

Section: Discussionmentioning

confidence: 99%

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Unusual cervicofacial localization of two subcutaneous tuberculous cold abscesses in an immunocompetent subject

Sabr

Opoko

Raiteb

et al. 2021

Annals of Medicine &Amp; Surgery

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Introduction Subcutaneous tuberculous cold abscesses represent a rare form of extra-pulmonary tuberculosis and their cervicofacial localization is exceptional. The management of this unusual form and location is medico-surgical and must be adapted to avoid progression to complications. Case report We report the case of a double cervicofacial localization of subcutaneous tuberculous cold abscesses in an immunocompetent patient followed for pulmonary tuberculosis who benefited from a surgical drainage of the two abscesses with anti-tuberculosis treatment with good clinical evolution. Discussion The diagnosis of subcutaneous tuberculous cold abscesses is based on a combination of anamnestic, clinical and paraclinical findings. Cold abscesses are most commonly described in patients with disseminated tuberculosis or during human immunodeficiency virus infection, but they may also occur in immunocompetent subjects. Monofocal localization is the most common and the association of several localizations is unusual. The treatment is medical-surgical, combining surgical drainage with anti-tuberculosis treatment. Conclusion Subcutaneous tuberculous cold abscesses should be considered in the presence of any stubborn collection occurring in a context of tuberculosis infection. Early diagnosis is the best guarantee of a cure without complications.

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Section: Discussionmentioning

confidence: 99%

“…Complete resection of the tuberculous cold abscess with excision of the underlying necrotic tissue reduces the rate of recurrence. This surgery, coupled with anti-tuberculosis treatment, is the only guarantee of a definitive cure [ [4] , [5] , [6] ].…”

Section: Discussionmentioning

confidence: 99%