[Tuberculosis of the chest wall: Report of a case at the Joseph Ravoahangy Andrianavalona Teaching Hospital, Antananarivo, Madagascar].

Medecine tropicale et sante internationale Pub Date : 2021-09-30 DOI:10.48327/mtsibulletin.2021.154

R N A L Rakotorahalahy, S Randrianandrasana, T Rajaobelison, R A Ralaivao, L Ramiliarijaona, A J C Rakotoarisoa

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Abstract

Background/rationale: Tuberculosis is a public health issue. Extra-pulmonary presentations are rare and sometimes hard to diagnose and manage. Here, we report a case of tuberculosis of the chest wall in a 28-year-old man in order to discuss the mechanism, diagnostic and therapeutic problems posed by this rare localization.

Description: The patient presented with wall swelling discovered after physical effort. Imaging was in favor of an abscess or infected hematoma. The excisional surgery established the tuberculous origin which was confirmed by histology. Anti-tuberculosis treatment during 9 months completed the surgical treatment and led to the patient's recovery.

Discussion/conclusion: The rarity of this localization of tuberculosis should be investigated. Etiological treatment must be instituted and regular monitoring scheduled to avoid recurrence.

Conclusion: Direct-acting antivirals are effective and characterized by good tolerance in these Malagasy hepatitis C patients.

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[胸壁结核:马达加斯加塔那那利佛Joseph Ravoahangy Andrianavalona教学医院一例报告]。

背景/理由:结核病是一个公共卫生问题。肺外表现是罕见的，有时难以诊断和处理。在此，我们报告一位28岁男性胸壁结核的病例，以讨论这种罕见的定位所带来的机制，诊断和治疗问题。描述:患者在体力劳动后发现壁肿胀。影像学显示为脓肿或感染血肿。切除手术确定了结核的起源，并经组织学证实。9个月的抗结核治疗完成了手术治疗，使患者康复。讨论/结论:应调查这种局部结核的罕见性。必须制定病因治疗和定期监测计划，以避免复发。结论:直接作用抗病毒药物对马达加斯加丙型肝炎患者有效且耐受性好。

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Medecine tropicale et sante internationale

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