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- W2984124426 abstract "Introduction Tuberculous abscesses are rare, accounting for 1% of extra-pulmonary tuberculosis (TB). The chest wall is often a site for cold abscesses. There have been only case reports described in the literature. We report a case series of chest wall TB diagnosed in a large European centre. Methods A retrospective analysis of at a large European centre of all TB cases between 2005 -2018 notified in the London TB register. Results We identified 22 cases of chest wall TB, this was 0.3% of all TB cases over this time period. 81.8% (18/22) were male, the median age was 33.06 years (SD 14.05 years). 81.8% (18/22) were of Asian ethnicity. 31.8% (7/22) had concurrent pulmonary TB whilst 22.7% (5/22) had concurrent osteomyelitis, of these 60% (3/5) had osteomyelitis of the spine. 81.8% (18/22) were M.TB culture positive, with just 5.5% (1/18) who had resistant disease (to Streptomycin and Isoniazid). In 71% (15/21) of cases we were able to demonstrate granulomatous inflammation on histology. 95.4% (21/22) received 6 months of treatment. All patients completed their treatment successfully and no relapses were recorded, no patient required surgery. Conclusion The diagnosis of chest wall TB can be challenging but should be considered in an at-risk population. Microbiological diagnosis is highly attainable and will help guide treatment. Prompt diagnosis and treatment is important in preventing additional complications, often in the form of osteomyelitis." @default.
- W2984124426 created "2019-11-22" @default.
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- W2984124426 date "2019-11-12" @default.
- W2984124426 modified "2023-09-24" @default.
- W2984124426 title "P209 Chest wall tuberculosis presentations in east london" @default.
- W2984124426 doi "https://doi.org/10.1136/thorax-2019-btsabstracts2019.352" @default.
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