Tuberculosis and Recurrent Postoperative Wound Infection

Abstract

We report a case of post operative repeated wound infection due to Mycobacterium Tuberculosis. A 25 yr old woman presented to us with watery discharge from Caesarean section wound, done elsewhere 3 months ago. Discharge from the wound showed Acid fast bacilli on Ziehl Neelsen stain, and Histopathology report confirmed tubercular infection. Patient was treated with standard anti tubercular drugs, and is responding well to treatment. A high degree of suspicion is required for exact identification of unusual pathogens in cases of recurrent postoperative wound infection.

Delayed Surgical Site Infection by Tuberculosis – A Rising Cause of Concern ?

“…The country, Bangladesh ranks 6 th among 22 highest burden countries in the world 2 . Postoperative surgical site infection is common in almost all countries of the world and it varies from patient to patient, hospital to hospital and depending upon various factors 3 . But surgical site infection due to tuberculosis is a rare entity, in most cases, is caused by reactivation of dormant tuberculosis, spread of the infection by either haematogenous route or direct inoculation from exterior or from a tuberculous abdominal lymph node or extension from underlying tubercular lesions 4,5 .…”