Tuberculous injection abscess

ABSTRACT

A two years old girl, presented with one month history of swelling in the centre of her left buttock. She was alright two months back when she developed fever for two days, for which her mother took her to a dispensary in her village. She was given an injection on her left buttock and some syrup. After about a month, she developed swelling at the site of injection with pain and fever. She was given a topical application by the same medical practitioner with no improvement. Then her mother took her to a hospital where diagnosis of injection abscess was made and incision and drainage performed. The wound of incision and drainage did not heal in four weeks and another abscess developed five centimeters lateral to the primary wound. She was investigated and operated again. At incision and drainage, pus with some cheesy material came out. Tissue was taken from the abscess wall which showed tuberculous infection. She was started on anti-tuberculous treatment and both wounds healed in next month The child was vaccinated with BCG; there was no family history of tuberculosis