HIV Seronegatif Hastada Parasternal T�berk�loz ve �nsidental Abdominal Kitle

K�z�l�rmak, Deniz; G�ler, M�jgan Zuhal; �nsal, Ebru; �imen, Filiz; �apan, Nermin

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HIV Seronegatif Hastada Parasternal T�berk�loz ve �nsidental Abdominal Kitle [Respir Case Rep]

Respir Case Rep. 2017; 6(1): 45-47 | DOI: 10.5505/respircase.2017.75436

HIV Seronegatif Hastada Parasternal T�berk�loz ve �nsidental Abdominal Kitle

Deniz K�z�l�rmak¹, M�jgan Zuhal G�ler², Ebru �nsal³, Filiz �imen², Nermin �apan²
¹Turgut �zal �niversitesi T�p Fak�ltesi, G��s Hastal�klar� Ana Bilim Dal�, Ankara
²Atat�rk G��s Hastal�klar� Ve G��s Cerrahisi E�itim Ve Ara�t�rma Hastanesi, G��s Hastal�klar� Ana Bilim Dal�, Ankara
³Y�ld�r�m Beyaz�t �niversitesi T�p Fak�ltesi, G��s Hastal�klar� Ana Bilim Dal�, Ankara

Yumu�ak doku t�berk�lozu nadir g�r�len akci�er d�� t�berk�loz formudur. �zellikle primer akci�er t�berk�lozunun e�lik etmedi�i durumlarda klinik olarak malignite ile kar��abilmektedir. Olgumuz, HIV seronegatif, 39 ya��nda bir bayan hastad�r. Sternum �n k�sm�nda ele gelen �i�lik �ik�yeti olan hastaya kitle rezeksiyonu yap�lm�� ve patolojisi kazeifiye gran�lomat�z inflamasyon olarak raporlanm��t�r. Hastaya �yeni olgu akci�er d�� t�berk�loz� tan�s�yla d�rtl� anti-TB tedavi ba�land�. Fizik muayenesinde sa� alt kadran hassasiyeti saptanan hastan�n abdomen ultrasonunda ve tomografisinde sa� alt kadranda kitle lezyonu g�r�ld�. Gastroenteroloji taraf�ndan kolonoskopide; ��kan kolonda, biyopsi sonras�nda p�r�lan bir ak�nt�n�n bo�ald�� kitle g�r�ld�. Hastan�n patoloji raporu gran�lomat�z nekroz olarak yorumland�. Yumu�ak doku t�berk�lozu tan�s� ile takip edilen hastaya, e�lik eden gastrointestinal t�berk�loz tan�s� konuldu ve hastan�n tedavi s�resi 9 ay olarak uzat�ld�. T�berk�loz nedeni ile takip edilen hastalarda, sistem sorgular� ve fizik muayeneleri, ba�ka bir t�berk�loz oda��n�n belirtisini de ortaya ��karabilmektedir. Olgumuzda e�lik eden gastrointestinal t�berk�loz tan�s� nedeni ile tedavi s�resi uzam��t�r.

Anahtar Kelimeler: Akci�er d�� t�berk�loz, abdominal, kitle

Parasternal Tuberculosis and Incidental Abdominal Mass in an HIV Seronegative Patient

Deniz K�z�l�rmak¹, M�jgan Zuhal G�ler², Ebru �nsal³, Filiz �imen², Nermin �apan²
¹Department of Pulmonary Diseases, Turgut �zal University Faculty of Medicine, Ankara, Turkey
²Department of Pulmonary Diseases, Atat�rk Chest Diseases and Chest Surgery Education and Training Hospital, Ankara, Turkey
³Department of Pulmonary Diseases, Y�ld�r�m Beyaz�t University Faculty of Medicine, Ankara, Turkey

Soft tissue tuberculosis is a rare form of extrapulmonary tuberculosis. It can be clinically confused with malignancy, particularly in cases without accompaniment of primary pulmonary tuberculosis. A 39-year-old female, HIV-seronegative patient was admitted with a complaint of a palpable swelling in front of the sternum. After surgical resection, the pathological result was reported as granulomatous inflammation. The patient was diagnosed with extrapulmonary tuberculosis, and anti-tuberculosis treatment was started. She had tenderness in the right lower quadrant on physical examination. Ultrasound and tomography scans showed a 6x5 cm mass in the right lower quadrant. Colonoscopy revealed a mass on the ascending colon, in which purulent discharge after biopsy was reported. Its pathology result was reported as granulomatous necrosis. We diagnosed the patient with soft tissue tuberculosis with concomitant gastrointestinal tuberculosis. She received treatment for nine months.

Keywords: Extrapulmonary tuberculosis, abdominal, mass

Sorumlu Yazar: Ebru �nsal, T�rkiye
Makale Dili: T�rk�e

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