WOFAPS 2025 8th World Congress of Pediatric Surgery

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Primary Tubercular abscess of thigh in children –case series of 11 patients

Vishal Michael, Megha Chaudhary, Dhruva Ghosh, William Bhatti
Christian Medical College and Hospital, Ludhiana, India

Primary Tubercular abscess of thigh in children –case series of 11 patients

Vishal Michael, Megha Chaudhary, Dhruva Ghosh, William Bhatti

Department of pediatric surgery, Christian Medical College Ludhiana

Introduction: Isolated cold abscess of the thigh without active tuberculosis elsewhere in the body is a rare entity and only a few cases have been reported in the literature. We report case series of 11 patients with tubercular thigh abscess

Methods: We reviewed 11 cases of children presenting with thigh swellings subsequently diagnosed as primary tubercular abscesses. All patients underwent abscess drainage in combination with standard anti-tubercular therapy for six months

Results: Median age of children at presentation was 10 months (1month -15 months). All children were immunized with BCG and BCG scar was present. Patients presented with thigh swelling and diagnosis was confirmed by imaging .Histopathology and CBNAAT was suggestive of tuberculosis.

Conclusion: Primary tubercular abscess of the thigh should be considered as the differential diagnosis of unexplained soft tissue swellings in children, even in the absence of systemic tuberculosis.

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