Tuberculosis, neck abscess a case report and literature review

Abstract

This case report discusses the diagnosis and management of TB in a 35-year-old male patient of Asian origin living in Ireland. The patient presented with neck abscess, fatigue, and low energy levels. Clinical examination revealed a neck lump with a discharging wound. Further investigations, such as imaging, blood tests, and histopathology, led to the diagnosis of tuberculosis (TB). The tests further showed pulmonary nodules and enlarged lymph nodes. The patient's QuantiFERON test was positive, indicating latent TB infection. Various diagnostic tests were conducted to rule out other infections and autoimmune conditions. Treatment involved incision and drainage of the neck abscess and a combination of anti TB drugs such as isoniazid, pyrazinamide, rifampicin, and ethambutol. Providing a significant focus and conducting comprehensive diagnostic evaluations is crucial for effectively treating extrapulmonary TB. It is imperative to quickly identify, manage, and take preventative measures in order to achieve the optimal patient outcome when dealing with TB.