Breast Tuberculosis

Abstract

Introduction: Sir Astley Cooper in 1829 reported for the first time a case of breast tuberculosis (TB), under the name of "escrofulosa inflammation of the breast". Today, the incidence of breast TB is low, representing less than 0.1% of mammary pathology and 3% of benign treatable lesions.

Objective: To describe a clinical case of breast Tuberculosis.

Material and methods: A descriptive, retrospective study, presentation of the clinical case on breast Tuberculosis was conducted.

Results: The case of a 30-year-old female patient is described in the Ambato Regional Hospital, with a history of left mammary tuberculosis, which has a right mammary mass with purulent secretion by the ipsilateral Aeroa. It is performed breast ultrasound that showed inflammatory process type granulomatous mastitis. It continued its study by making PBAF and in the staining of Ziehl Neelsen of the sample wereobserved bacilli of Koch, which confirmed the diagnosis of breast Tuberculosis.

Conclusions: Breast Tuberculosis is a rare pathology in our midst. The clinical manifestations with which the patient is presented are not specific and can be easily mistakenfor other illnesses. The staining of Ziehl Neelsen and PCR are the recommended tests for diagnosis, although not specific, and can cause false negatives. The health care provider should have high suspicion of breast tuberculosis in patients with chronic, treatment-resistant lesions that have been ruled out for neoplastic diseases.