Tuberculous Mastitis Masquerading as an Inflammatory Cellulitis: Case Report
Introduction: Tuberculosis mastitis is a rare manifestation of tuberculosis. Clinical manifestations can be variable and unusual. Routine laboratory and imaging tests may yield nonspecific results making diagnosis challenging. Clinical details: A 33-year-old, healthy, nonlactating, female presented...
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Jaypee Brothers Medical Publisher
2023-02-01
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| Series: | Journal of Medical Academics |
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| Online Access: | https://www.jmaacms.com/doi/JOMA/pdf/10.5005/jp-journals-11003-0113 |
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| author | Sharmila Dudani Sridhar Mangalesh Archna Rautela Rajendra Maskara |
| author_facet | Sharmila Dudani Sridhar Mangalesh Archna Rautela Rajendra Maskara |
| author_sort | Sharmila Dudani |
| collection | DOAJ |
| description | Introduction: Tuberculosis mastitis is a rare manifestation of tuberculosis. Clinical manifestations can be variable and unusual. Routine laboratory and imaging tests may yield nonspecific results making diagnosis challenging.
Clinical details: A 33-year-old, healthy, nonlactating, female presented with a 15-day history of high fever, pain, and swelling of the left (Lt) breast. Examination revealed tender breast swelling with erythema of overlying skin. No breast lump/axillary lymphadenopathy was palpable. Nipple and areola were normal. No sinus/ulcer present. X-ray chest was normal. No tuberculous focus is present.
Differential diagnosis includes breast abscess, mastitis, fungal infections, and granulomatous diseases. Mammography and ultrasound are not diagnostic of breast tuberculosis. Fine needle aspiration cytology (FNAC) is useful only in presence of a breast lump. Open biopsy/surgical debridement may be required for confirmation.
Conclusion: A high index of clinical suspicion with appropriate diagnostic tests and a standard antitubercular drug regimen is needed for a complete cure. |
| format | Article |
| id | doaj-art-aa530d2e7e094862873eec9b44dd4510 |
| institution | OA Journals |
| issn | 2581-8279 |
| language | English |
| publishDate | 2023-02-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Journal of Medical Academics |
| spelling | doaj-art-aa530d2e7e094862873eec9b44dd45102025-08-20T02:36:49ZengJaypee Brothers Medical PublisherJournal of Medical Academics2581-82792023-02-0151--2232410.5005/jp-journals-11003-01136Tuberculous Mastitis Masquerading as an Inflammatory Cellulitis: Case ReportSharmila Dudani0Sridhar Mangalesh1Archna Rautela2Rajendra Maskara3Sharmila Dudani, Department of Pathology, Army College of Medical Sciences, Delhi, India, Phone: +91 9811778156Department of Pathology, Army College of Medical Sciences, Delhi, IndiaDepartment of Pathology, Army College of Medical Sciences, Delhi, IndiaDepartment of General and Minimal Access Surgery, Spring Meadows Hospital, East of Kailash, New Delhi, IndiaIntroduction: Tuberculosis mastitis is a rare manifestation of tuberculosis. Clinical manifestations can be variable and unusual. Routine laboratory and imaging tests may yield nonspecific results making diagnosis challenging. Clinical details: A 33-year-old, healthy, nonlactating, female presented with a 15-day history of high fever, pain, and swelling of the left (Lt) breast. Examination revealed tender breast swelling with erythema of overlying skin. No breast lump/axillary lymphadenopathy was palpable. Nipple and areola were normal. No sinus/ulcer present. X-ray chest was normal. No tuberculous focus is present. Differential diagnosis includes breast abscess, mastitis, fungal infections, and granulomatous diseases. Mammography and ultrasound are not diagnostic of breast tuberculosis. Fine needle aspiration cytology (FNAC) is useful only in presence of a breast lump. Open biopsy/surgical debridement may be required for confirmation. Conclusion: A high index of clinical suspicion with appropriate diagnostic tests and a standard antitubercular drug regimen is needed for a complete cure.https://www.jmaacms.com/doi/JOMA/pdf/10.5005/jp-journals-11003-0113abscessbreastcellulitistuberculosis |
| spellingShingle | Sharmila Dudani Sridhar Mangalesh Archna Rautela Rajendra Maskara Tuberculous Mastitis Masquerading as an Inflammatory Cellulitis: Case Report Journal of Medical Academics abscess breast cellulitis tuberculosis |
| title | Tuberculous Mastitis Masquerading as an Inflammatory Cellulitis: Case Report |
| title_full | Tuberculous Mastitis Masquerading as an Inflammatory Cellulitis: Case Report |
| title_fullStr | Tuberculous Mastitis Masquerading as an Inflammatory Cellulitis: Case Report |
| title_full_unstemmed | Tuberculous Mastitis Masquerading as an Inflammatory Cellulitis: Case Report |
| title_short | Tuberculous Mastitis Masquerading as an Inflammatory Cellulitis: Case Report |
| title_sort | tuberculous mastitis masquerading as an inflammatory cellulitis case report |
| topic | abscess breast cellulitis tuberculosis |
| url | https://www.jmaacms.com/doi/JOMA/pdf/10.5005/jp-journals-11003-0113 |
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