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Asociación Mexicana de Gastroenterología

2007, Number 1

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Rev Gastroenterol Mex 2007; 72 (1)

The cold tuberculous abscess. A forgotten entity? Considerations based on an autopsy case

Bustamante-Sarabia J, Núñez-Camacho JC, Juárez-Rabadán S, Castro-Campos ÁÁ, Zúñiga-Andrade R, Arellano CI

Language: Spanish
References: 12
Page: 47-51
PDF size: 174.96 Kb.


ABSTRACT

We present the clinical case of a 28-year old male with pulmonary and extrapulmonary tuberculosis in absence of HIV infection; who also presented a left iliac psoas abscess of torpid evolution simulating an strangulated hernia and died of a sepsis due to colonic perforations by anaerobics and E. histolytica. Material and methods: Histological sections of the autopsy were studied with hematoxilin-eosin, Gram and Ziehl-Neelsen stains. Results: Autopsy study showed bilateral cavitated tuberculosis, Pott disease of thoracic spine and a cold tuberculous abscess on both psoas muscle and the lower third of the left thigh. Descending colonic perforation were identified, the responsible microorganism were Staphylococcus albus, Klebsiella sp, and E. coli.


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