Tuberculous Abscess of the Anterior Chest Wall: Report of 2 Cases

前胸壁結核菌膿瘍－病例報告

莊立良(Li-Liang Chuang) ； 李仁智(Jen-Jyh Lee) ； 林智斌(Chih-Bin Lin)

《胸腔醫學》 32卷3期 (2017/06) Pp. 125-129

摘要

Tuberculosis (TB) usually involves the lungs, which is the site of about 90% of mycobacterial infection. TB of the chest wall is a rare entity. Herein, we reported 2 cases of TB of the chest wall presenting as an abscess without intrapulmonary involvement. Computerized tomography of the thorax showed anterior chest wall abscess without evidence of underlying lung or pleural disease. Sputum examination revealed negative acid-fast bacilli in the smear and TB culture. Both patients were diagnosed by surgical pathology and tissue culture, and were treated with complete resection combined with anti-tuberculous therapy.

關鍵字

chest wall abscess ； tuberculosis

並列摘要

結核病是受結核桿菌感染而引起的，主要以影響肺部的一種疾病，約佔全部百分之九十，而胸壁的侵犯是較罕見的ㄧ類。在本文中，我們報導了兩個前胸壁結核膿瘍的案例，病患的胸部電腦斷層掃描顯示前胸壁膿瘍，並無伴隨其他肺部或肋膜疾病。痰液抹片與培養皆為陰性。病患經過手術切除，由病理組織培養證實為結核菌感染，最後服用抗結核藥物治療完全治癒。

並列關鍵字

胸壁膿瘍 ； 結核菌