Breast Lump: A Rare Presentation of Tuberculosis in an Elderly Man

Brazao, Sofia Gomes and Costa, Regina and Albano, Miguel Nico and Jesus, Nelson and Carvalho, Armando (2019) Breast Lump: A Rare Presentation of Tuberculosis in an Elderly Man. European Journal of Case Reports in Internal Medicine, 6 (5). ISSN 2284-2594

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Introduction: Chest wall masses are caused by various entities and have diverse aetiologies. A careful history and physical examination are crucial to establish the correct diagnosis. Case report: A 77-year-old man presented with depressive mood, anorexia (weight loss of 20 kg) and a 1-month history of a non-painful breast lump with well-defined contours, which was about 6 cm in diameter. There was no history of trauma. Computed tomography of the thorax revealed a collection of liquid in the left anterior thoracic wall, associated with discontinuity of the 4th left costal cartilage, and upper left lobe cavitation, suggesting pulmonary tuberculosis. The patient was started on quadruple therapy with anti-tuberculosis drugs and discharged after a negative smear. Conclusion: In this case, the indolent onset of unspecific symptoms made it difficult to reach a diagnosis of pulmonary tuberculosis, which was confirmed by positive culture and imaging. A breast lump in an elderly patient with unspecific clinical manifestations is an unusual presentation of pulmonary tuberculosis. It is important to be aware of rib invasion and exclude tuberculosis in a patient with a chest wall mass. As tuberculosis is treatable, early diagnosis is vital as diagnostic delay can lead to contagion.

Item Type: Article
Uncontrolled Keywords: Tuberculosis, breast lump, infectious disease, geriatric medicine
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) > 616.9 Altre malattie (altri rami della Medicina) > 616.99 Tumori, malattie contagiose > 616.995 Tubercolosi
Depositing User: Sr. Francesco Bonaccorsi
Date Deposited: 15 Jan 2020 09:26
Last Modified: 15 Jan 2020 09:26

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