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

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:...

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Autores principales: Sabr, Ayoub, Opoko, Ulrich, Raiteb, Mohamed, Maadane, Amina, Slimani, Faiçal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8281590/
https://www.ncbi.nlm.nih.gov/pubmed/34295466
http://dx.doi.org/10.1016/j.amsu.2021.102551
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author Sabr, Ayoub
Opoko, Ulrich
Raiteb, Mohamed
Maadane, Amina
Slimani, Faiçal
author_facet Sabr, Ayoub
Opoko, Ulrich
Raiteb, Mohamed
Maadane, Amina
Slimani, Faiçal
author_sort Sabr, Ayoub
collection PubMed
description 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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spelling pubmed-82815902021-07-21 Unusual cervicofacial localization of two subcutaneous tuberculous cold abscesses in an immunocompetent subject Sabr, Ayoub Opoko, Ulrich Raiteb, Mohamed Maadane, Amina Slimani, Faiçal Ann Med Surg (Lond) Case Report 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. Elsevier 2021-07-09 /pmc/articles/PMC8281590/ /pubmed/34295466 http://dx.doi.org/10.1016/j.amsu.2021.102551 Text en © 2021 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Sabr, Ayoub
Opoko, Ulrich
Raiteb, Mohamed
Maadane, Amina
Slimani, Faiçal
Unusual cervicofacial localization of two subcutaneous tuberculous cold abscesses in an immunocompetent subject
title Unusual cervicofacial localization of two subcutaneous tuberculous cold abscesses in an immunocompetent subject
title_full Unusual cervicofacial localization of two subcutaneous tuberculous cold abscesses in an immunocompetent subject
title_fullStr Unusual cervicofacial localization of two subcutaneous tuberculous cold abscesses in an immunocompetent subject
title_full_unstemmed Unusual cervicofacial localization of two subcutaneous tuberculous cold abscesses in an immunocompetent subject
title_short Unusual cervicofacial localization of two subcutaneous tuberculous cold abscesses in an immunocompetent subject
title_sort unusual cervicofacial localization of two subcutaneous tuberculous cold abscesses in an immunocompetent subject
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8281590/
https://www.ncbi.nlm.nih.gov/pubmed/34295466
http://dx.doi.org/10.1016/j.amsu.2021.102551
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