Extrapulmonary multidrug resistant tuberculosis presenting as chest wall abscess - A rare case report.

Summary: Even though the prevalence of pulmonary drug resistant tuberculosis is showing an increasing trend globally, only a few case reports of extrapulmonary tuberculosis caused by drug resistant mycobacteria have been documented over the last decade. Extrapulmonary tuberculosis is not infrequent and may cause considerable morbidity and mortality. Tuberculous abscess over chest wall is commonly due to the spread from an adjacent affected lymph node group. Multidrug resistance poses a great challenge to the physicians in managing such a condition and significantly affects the prognosis. Here we report a rare presentation of multidrug resistant tuberculosis as anterior chest wall abscess in a young male.

Right diaphragmatic hernia in an elderly man.

A 71-year-old male presented with progressive exertional breathlessness and cough for the last four years. His breathlessness aggravated after a heavy meal and on lying down. He was a smoker, but had no co-morbidities. He did not remember any major trauma or surgery. Examination of the respiratory system revealed mediastinal shift to the left, diminished breath sounds over the whole of the right hemithorax and gurgling sounds all over, mainly the infrascapular area. Examination of other organ systems revealed no abnormality.