A chronic ulcerative wound in the neck and disseminated tuberculosis: a case report and review of the literature

Respiratory Medicine
Case Report
10.1102/1470-5206.2013.0008
13
52-56
A chronic ulcerative wound in the neck and disseminated tuberculosis: a case report and review of the literature

A 79-year-old woman was admitted to the emergency room with an ulcerated large wound in the lateral region of her neck. Computed tomography (CT) of the thorax revealed air bronchograms, nodular infiltration and areas of consolidation areas in both lungs. Multiple conglomerated lymph nodes, tending to coalesce with each other with areas of necrosis, were observed on the neck CT. Numerous acid-fast bacilli were seen on wound microscopy and in sputum. A case of disseminated tuberculosis is presented to draw attention to the dangers of delayed diagnosis despite improved tuberculosis treatment regimens.

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Editor-in-Chief

Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK

Editors

Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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