scholarly journals Primary Tubercular Chest Wall Abscess in a Young Immunocompetent Male

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Shweta Sharma ◽  
R. K. Mahajan ◽  
V. P. Myneedu ◽  
B. B. Sharma ◽  
Nandini Duggal
Keyword(s):  
Chest Wall ◽  
Immunocompetent Patient ◽  
Rare Entity ◽  
Hematogenous Spread ◽  
Clinical Challenge ◽  
Chest Wall Abscess ◽  
Direct Inoculation ◽  
Underlying Pathology ◽  
Patient Infection ◽  
Rule Out

Chest wall tuberculosis is a rare entity especially in an immunocompetent patient. Infection may result from direct inoculation of the organisms or hematogenous spread from some underlying pathology. Infected lymph nodes may also transfer the bacilli through lymphatic route. Chest wall tuberculosis may resemble a pyogenic abscess or tumour and entertaining the possibility of tubercular etiology remains a clinical challenge unless there are compelling reasons of suspicion. In tuberculosis endemic countries like India, all the abscesses indolent to routine treatment need investigation to rule out mycobacterial causes. We present here a case of chest wall tuberculosis where infection was localized to skin only and, in the absence of any evidence of specific site, it appears to be a case of primary involvement.

scholarly journals Tubercular Mediastinal Abscess in Non-immunocompromised Patient: A Rare Case Presentation

2021 ◽  
Author(s):  
Yash Rana ◽  
Vijendra Chouhan ◽  
Saket Kumar ◽  
Kusum V Shah ◽  
Arti D. Shah
Keyword(s):  
Rare Case ◽  
Immunocompromised Patient ◽  
Hematogenous Spread ◽  
Case Presentation ◽  
Mediastinal Abscess ◽  
Clinical Challenge ◽  
Direct Inoculation ◽  
Pyogenic Abscess ◽  
Lymphatic Route ◽  
Rule Out

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.

scholarly journals Pleuropneumonia with chest wall abscess due to salmonella enteric in immunocompetent patient: a case report

2020 ◽  
Vol 2 (5) ◽  
pp. 01-05
Author(s):  
Youssef Sleiman
Keyword(s):  
Chest Wall ◽  
Gastrointestinal Symptoms ◽  
Rare Condition ◽  
Needle Aspiration ◽  
Immunocompetent Patient ◽  
Bacterial Disease ◽  
Lung Field ◽  
Salmonella Infection ◽  
Chest Wall Abscess ◽  
Lower Lung

Introduction: Pleuropulmonary with bony and cutaneous involvement of salmonella infection is a very rare condition and no case was ever reported in Lebanon. Case presentation: We report a case of 39-year-old immunocompetent man, with no past medical history, presented with a right bulging chest wall mass. The chest radiographs revealed pleural effusion and presence of a hypodense central necrosis at right lower lung field. Salmonella was identified from the cultures of fine needle aspiration (FNA) form the mass. After treating salmonella with adequate antibiotics, the patient was improved. Discussion: salmonella infection is a common bacterial disease that affects the intestinal tract. Infection may spread beyond the intestine causing many complications like in our reported case. Conclusion: we should suspect salmonellosis in any patient presenting with gastrointestinal symptoms followed by pleuropneumonia with chest wall infection.

scholarly journals Sternoclavicular joint septic arthritis presenting as cervical abscess and subcutaneous emphysema: A case report

2020 ◽  
Vol 8 ◽  
pp. 2050313X2090287
Author(s):  
Brandon E Fornwalt ◽  
Madeline Goosmann ◽  
Stephen Reynolds ◽  
Jared D Bunevich
Keyword(s):  
Case Report ◽  
Septic Arthritis ◽  
Bacterial Infection ◽  
Chest Wall ◽  
Subcutaneous Emphysema ◽  
English Literature ◽  
Rare Complication ◽  
Sternoclavicular Joint ◽  
Hematogenous Spread ◽  
Chest Wall Abscess

Sternoclavicular joint septic arthritis results from hematogenous spread of a bacterial infection, usually in the immunocompromised. It commonly presents as a chest wall abscess. Cervical abscess resulting from sternoclavicular joint septic arthritis is a rare complication with only one reported case in the English literature. We describe a case of sternoclavicular joint septic arthritis in an elderly diabetic adult with cervical abscess as initial presentation.

scholarly journals Mixed Actinomyces israelii and Aggregatibacter actinomycetemcomitans infection causing empyema necessitatis and multiple skin abscesses in an immunocompetent patient

2019 ◽  
Vol 12 (9) ◽  
pp. e230287 ◽  
Author(s):  
Takaaki Kobayashi ◽  
Evgeny Arshava ◽  
Bradley Ford ◽  
Poorani Sekar
Keyword(s):  
Chest Wall ◽  
Thoracoscopic Surgery ◽  
Aggregatibacter Actinomycetemcomitans ◽  
Immunocompetent Patient ◽  
Silver Stain ◽  
Left Chest ◽  
Chest Wall Abscess ◽  
Pathological Evaluation ◽  
Methenamine Silver Stain ◽  
The Right

A 45-year-old- man presented with left chest wall pain, swelling and cough. Over a 2-month period he developed abscesses in the right foot, right anterior thigh, left buttock and left chest. Incision and drainage of the soft tissue abscesses and video-assisted thoracoscopic surgery to drain the loculated empyema contiguous with the chest wall abscess were performed as surgical management. Gram stain showed beaded Gram-positive rods and the culture initially grew Aggregatibacter actinomycetemcomitans and Eikenella corrodens. Pathological evaluation of the pleura showed sulfur granules and organisms consistent with Actinomyces spp. on Gomori methenamine silver stain; Actinomyces israelii was recovered in culture with extended incubation. The patient was treated for 3 weeks with ceftriaxone and oral metronidazole, followed by oral amoxicillin. Culture of A. actinomycetemcomitans with other findings consistent with actinomycosis warrants 6–12 months of antibiotic therapy.

Tuberculous Chest Wall Abscess in Patients with AIDS

1993 ◽  
Vol 16 (5) ◽  
pp. 727-728 ◽  
Author(s):  
G. Cacho ◽  
M. Yebra ◽  
E. Berrocal ◽  
J. Ruiz
Keyword(s):  
Chest Wall ◽  
Chest Wall Abscess

scholarly journals Surgical approach and prognosis of primitive chest wall alveolar rhabdomyosarcoma in an adult: A case report and review of the literature

2020 ◽  
Vol 5 (2) ◽  
pp. 104-108
Author(s):  
Narindra Njarasoa Mihaja Razafimanjato ◽  
◽  
Tsiry Dama Ntsoa Ravelomihary ◽  
Mampionona Ranaivomanana ◽  
Guillaume Odilon Tsiambanizafy ◽  
...  
Keyword(s):  
Chest Wall ◽  
Surgical Approach ◽  
Complete Resection ◽  
Alveolar Rhabdomyosarcoma ◽  
Chest Wall Resection ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Dorsi Muscle ◽  
First Case ◽  
Multimodal Management

Alveolar rhabdomyosarcomas (ARMS) are rare entities that occur predominantly on the extremities and represent 20% of rhabdomyosarcomas. Other common locations include the peri-rectal and perineal regions, head and neck, and genitourinary system. To our knowledge, this presentation is the first case of alveolar rhabdomyosarcoma of the chest wall reported in the literature. Here, we describe a case of a 64-year-old man with alveolar rhabdomyosarcomas who underwent a chest wall resection. The defect was reconstructed with polypropylene mesh and latissimus dorsi muscle. Our patient did not show recurrence ten months after complete resection. The present paper describes our surgical approach to a case of primary alveolar rhabdomyosarcoma of the chest wall in an adult. The authors discuss the principal judgment criteria for successful surgical resection and prognosis, highlighting the relevance of chest wall reconstruction and their complementary aspects in the multimodal management of this rare entity.

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