Primary Multidrug-Resistant
Extrapulmonary Tuberculosis
Presenting as Empyema Necessitans
in an Immuno-competent Young Girl
Published: October 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/27505.10739
Jyoti Bajpai, Surya Kant, Ajay Kumar Verma
1. Senior Resident, Department of Respiratory Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.
2. Professor and Head, Department of Respiratory Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.
3. Associate Professor, Department of Respiratory Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.
Correspondence Address :
Dr. Surya Kant,
Professor and Head, Department of Respiratory Medicine, King George's Medical University,
Lucknow-226003, Uttar Pradesh, India.
E-mail: skantpulmed@gmail.com
Abstract
Empyema Necessitans (EN) is a variant of empyema that extends to extrapleural space and can affect chest wall too. Although, tuberculosis is the most common cause of EN, primary multidrug resistant TB presenting as EN is rare. Despite the ominous upward trend of drug resistant pulmonary tuberculosis prevalence globally, only sparse reports of extrapulmonary involvement by drug resistant mycobacteria have been documented in literature. Uptill now, culture has been the gold standard for diagnosis of TB. However, the availability of simple and rapid molecular tests has made the diagnosis of extrapulmonary forms of TB possible with high sensitivity and specificity. Here, we report a case of primary Multidrug-Resistant (MDR) extrapulmonary tuberculosis presenting as EN in an immuno-competent young girl.
Keywords
CECT thorax, Empyema, Molecular test