Annals of Tropical Medicine and Public Health
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CASE REPORT
Year : 2013  |  Volume : 6  |  Issue : 1  |  Page : 131-133

Polymerase chain reaction: The panacea for diagnosing tubercular breast disease?


1 Microbiologist, Army Hospital (R & R), New Delhi, India
2 Department of Microbiology, Armed Forces Medical College, Pune, Maharashtra, India

Correspondence Address:
Mahima Lall
Army Hospital (Research and Referral), Delhi Cantonment, Delhi - 110 010
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.115192

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Tuberculosis is common in India but tubercular breast abscess still remainsa rare entity. This paradox exists due to misdiagnosis and underreporting. A high index of suspicion is required in diagnosing the condition which mimics pyogenic abscess or benign breast disease. We present a case of a 21-year-old college student who presented to surgical OPD with lump in right breast. Prolonged treatment with antibiotics did not show any clinical response. Polymerase chain reaction (PCR) performed on the pus indicated the presence of Mycobacterium tuberculosis. Only repeated Fine needle aspiration cytology (FNAC) revealed acid-fast bacilli. Antitubercular therapy was initiated with favorable clinical response.


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