A Rare Manifestation of Tuberculosis Presenting in the United States

A 64-year-old Bangladeshi female presented to her primary care physician with a tender right breast lump that had been present for 4-5 days along with subjective fevers and malaise. Initial biopsy revealed granulomas, but Ziehl-Neelsen and Gram stain were negative for TB so antibiotics were prescrib...

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Main Authors: Osman Bhatty, David Waters, Nicholas Wilka, Shradha Samuel, John Horne, Renuga Vivekanandan
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2016/8216040
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author Osman Bhatty
David Waters
Nicholas Wilka
Shradha Samuel
John Horne
Renuga Vivekanandan
author_facet Osman Bhatty
David Waters
Nicholas Wilka
Shradha Samuel
John Horne
Renuga Vivekanandan
author_sort Osman Bhatty
collection DOAJ
description A 64-year-old Bangladeshi female presented to her primary care physician with a tender right breast lump that had been present for 4-5 days along with subjective fevers and malaise. Initial biopsy revealed granulomas, but Ziehl-Neelsen and Gram stain were negative for TB so antibiotics were prescribed for abscess until culture came positive for tuberculosis. She was started on triple therapy for extrapulmonary tuberculosis, an exceedingly rare presentation that requires high clinical suspicion in the Western world.
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institution Kabale University
issn 2090-6625
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language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Infectious Diseases
spelling doaj-art-2f9a9299de1b40de82d77c8fb9efd3142025-02-03T01:23:21ZengWileyCase Reports in Infectious Diseases2090-66252090-66332016-01-01201610.1155/2016/82160408216040A Rare Manifestation of Tuberculosis Presenting in the United StatesOsman Bhatty0David Waters1Nicholas Wilka2Shradha Samuel3John Horne4Renuga Vivekanandan5Department of Medicine, Creighton University, 601 N 30th Street, Omaha, NE 68131, USADepartment of Medicine, Creighton University, 601 N 30th Street, Omaha, NE 68131, USADepartment of Medicine, Creighton University, 601 N 30th Street, Omaha, NE 68131, USADepartment of Medicine, Creighton University, 601 N 30th Street, Omaha, NE 68131, USADepartment of Medicine, Creighton University, 601 N 30th Street, Omaha, NE 68131, USADepartment of Medicine, Creighton University, 601 N 30th Street, Omaha, NE 68131, USAA 64-year-old Bangladeshi female presented to her primary care physician with a tender right breast lump that had been present for 4-5 days along with subjective fevers and malaise. Initial biopsy revealed granulomas, but Ziehl-Neelsen and Gram stain were negative for TB so antibiotics were prescribed for abscess until culture came positive for tuberculosis. She was started on triple therapy for extrapulmonary tuberculosis, an exceedingly rare presentation that requires high clinical suspicion in the Western world.http://dx.doi.org/10.1155/2016/8216040
spellingShingle Osman Bhatty
David Waters
Nicholas Wilka
Shradha Samuel
John Horne
Renuga Vivekanandan
A Rare Manifestation of Tuberculosis Presenting in the United States
Case Reports in Infectious Diseases
title A Rare Manifestation of Tuberculosis Presenting in the United States
title_full A Rare Manifestation of Tuberculosis Presenting in the United States
title_fullStr A Rare Manifestation of Tuberculosis Presenting in the United States
title_full_unstemmed A Rare Manifestation of Tuberculosis Presenting in the United States
title_short A Rare Manifestation of Tuberculosis Presenting in the United States
title_sort rare manifestation of tuberculosis presenting in the united states
url http://dx.doi.org/10.1155/2016/8216040
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