Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : October | Volume : 11 | Issue : 10 | Page : OD06 - OD08

Primary Multidrug-Resistant Extrapulmonary Tuberculosis Presenting as Empyema Necessitans in an Immuno-competent Young Girl

Jyoti Bajpai, Surya Kant, Ajay Kumar Verma

1. Senior Resident, Department of Respiratory Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India. 2. Professor and Head, Department of Respiratory Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India. 3. Associate Professor, Department of Respiratory Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.

Correspondence Address :
Dr. Surya Kant,
Professor and Head, Department of Respiratory Medicine, King George's Medical University,
Lucknow-226003, Uttar Pradesh, India.
E-mail: skantpulmed@gmail.com

Abstract

Empyema Necessitans (EN) is a variant of empyema that extends to extrapleural space and can affect chest wall too. Although, tuberculosis is the most common cause of EN, primary multidrug resistant TB presenting as EN is rare. Despite the ominous upward trend of drug resistant pulmonary tuberculosis prevalence globally, only sparse reports of extrapulmonary involvement by drug resistant mycobacteria have been documented in literature. Uptill now, culture has been the gold standard for diagnosis of TB. However, the availability of simple and rapid molecular tests has made the diagnosis of extrapulmonary forms of TB possible with high sensitivity and specificity. Here, we report a case of primary Multidrug-Resistant (MDR) extrapulmonary tuberculosis presenting as EN in an immuno-competent young girl.

Keywords

CECT thorax, Empyema, Molecular test

How to cite this article :

Jyoti Bajpai, Surya Kant, Ajay Kumar Verma. PRIMARY MULTIDRUG-RESISTANT EXTRAPULMONARY TUBERCULOSIS PRESENTING AS EMPYEMA NECESSITANS IN AN IMMUNO-COMPETENT YOUNG GIRL. Journal of Clinical and Diagnostic Research [serial online] 2017 October [cited: 2018 Jan 17 ]; 11:OD06-OD08. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=October&volume=11&issue=10&page=OD06-OD08&id=10739

DOI and Others

DOI: 10.7860/JCDR/2017/27505.10739

Date of Submission: Feb 13, 2017
Date of Peer Review: Mar 11, 2017
Date of Acceptance: Aug 24, 2017
Date of Publishing: Oct 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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