Tubercular Mediastinal Abscess in
Nonimmunocompromised Patient:
A Rare Case Presentation
Published: February 1, 2021 | DOI: https://doi.org/10.7860/JCDR/2021/47602.14502
Yash Rana, Vijendra Chouhan, Saket Kumar, Kusum V. Shah, Arti D.Shah
1. Assistant Professor, Department of Respiratory Medicine, Smt. S.B.K.S. Medical Institute and Research Centre, Sumandeep Vidyapeeth Deemed to be University,
Vadodara, Gujarat, India.
2. Second Year Resident, Department of Respiratory Medicine, Smt. S.B.K.S. Medical Institute and Research Centre, Sumandeep Vidyapeeth Deemed to be University,
Vadodara, Gujarat, India.
3. Third Year Resident, Department of Respiratory Medicine, Smt. S.B.K.S. Medical Institute and Research Centre, Sumandeep Vidyapeeth Deemed to be University,
Vadodara, Gujarat, India.
4. Professor, Department of Respiratory Medicine, Smt. S.B.K.S. Medical Institute and Research Centre, Sumandeep Vidyapeeth Deemed to be University, Vadodara,
Gujarat, India.
5. Professor and Head, Department of Respiratory Medicine, Smt. S.B.K.S. Medical Institute and Research Centre, Sumandeep Vidyapeeth Deemed to be University,
Vadodara, Gujarat, India.
Correspondence Address :
Vijendra Chouhan,
D-103, Shailraj Complex, Opposite to Baroda Dairy, Makar Pura Road,
Tarsali, Vadodara-390009, Gujarat, India.
E-mail: vijendrachouhan5050@gmail.com
Abstract
Mediastinal tuberculosis is a rare infection resulting from direct inoculation of organisms or through hematogenous spread. Infected lymph nodes may also transfer the bacilli through lymphatic route. Mediastinal tuberculosis may resemble a pyogenic abscess or tumour which might indicate tubercular aetiology and remains a clinical challenge. In tuberculosis endemic countries like India, all the abscesses indolent to routine treatment need investigation to rule out mycobacterial causes. Authors hereby report a case of 60-year-old male with anterior mediastinal tubercular abscess.
Keywords
Hematogenous spread, Immuno-competent, Mediastinal lymph node, Pyogenic abscess