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Chen B, Bao Y, Chen J, Zhang Y, Wen Q, Wang K, Cheng X, Lv J. Isolated soft tissue tuberculosis: a case report and literature review. Front Med (Lausanne) 2023; 10:1205446. [PMID: 38034532 PMCID: PMC10684684 DOI: 10.3389/fmed.2023.1205446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Accepted: 10/31/2023] [Indexed: 12/02/2023] Open
Abstract
Soft tissue tuberculosis is a rare extrapulmonary form of tuberculosis with limited experience in diagnosis and treatment. Soft tissue tuberculosis is an extrapulmonary infection with atypical clinical symptoms that can be easily misdiagnosed. In this article, we report a case of a female patient with isolated soft tissue tuberculosis who presented with a progressively enlarging subcutaneous mass as the primary symptom, and was suspected of having a subcutaneous lipoma after ultrasonography. A review of the literature revealed that soft tissue tuberculosis is insidious and mainly occurs in muscles and subcutaneous tissues. It was indicated by histopathology and qPCR testing for Mycobacterium tuberculosis complex. There is no standard treatment protocol for soft tissue tuberculosis, and a comprehensive regimen of surgical debridement of the lesion combined with chemotherapy can be used following the guidelines for treating extrapulmonary tuberculosis. Early diagnosis and standardized anti-tuberculosis treatment can significantly improve the prognosis of patients.
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Affiliation(s)
- Baolin Chen
- Department of General Surgery, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
- Department of Thyroid and Breast Surgery, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
| | - Yuxiang Bao
- Department of General Surgery, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
- Department of Thyroid and Breast Surgery, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
| | - Jun Chen
- Department of General Surgery, People's Hospital of Sandu Shui Nationality Autonomous County, Duyun, China
| | - Yunpu Zhang
- Department of General Surgery, People's Hospital of Sandu Shui Nationality Autonomous County, Duyun, China
| | - Qifu Wen
- Department of General Surgery, People's Hospital of Sandu Shui Nationality Autonomous County, Duyun, China
| | - Kai Wang
- Department of Pathology, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
| | - Xiaoming Cheng
- Department of General Surgery, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
- Department of Thyroid and Breast Surgery, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
| | - Junyuan Lv
- Department of General Surgery, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
- Department of Thyroid and Breast Surgery, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
- Department of General Surgery, People's Hospital of Sandu Shui Nationality Autonomous County, Duyun, China
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