Part 1 Part 2 Part 3 Part 4 Part 5 Part 6 Part7 Investigations Culture: sterile including for fungi and mycobacterium tuberculosis Histopathology: non-specific chronic inflammation Aspiration: under ultrasound guidance > sterile cultures and negative reports for acid-fast bacilli staining PCR: positive for Mycobacterium tuberculosis
Part 2 Part 1 6 Part 3 Part 4 Part 5 Part 6 Part 7 Inves0ga0ons Ø Culture: sterile, including for fungi and Mycobacterium tuberculosis. Ø Histopathology: non-specific chronic inflamma0on. Ø Aspira0on: under ultrasound guidance >> sterile cultures and nega0ve reports for acid-fast bacilli staining Ø PCR: posi0ve for Mycobacterium tuberculosis
Part 1 Part 2 Part 3 Part 4 Part 5 Part 6 Part7 Treatment Antitubercular therapy hrZE 6 weeks later: symptomatic relief, the size of collection decreased CRP 4 months: the withdrawal of pyrazinamide and ethambutol >18 months: stop aTt
Part 3 Part 1 7 Part 2 Part 4 Part 5 Part 6 Part 7 Treatment Ø An0tubercular therapy: HRZE Ø 6 weeks later: symptoma0c relief, the size of collec0on decreased, CRP↘ Ø 4 months: the withdrawal of pyrazinamide and ethambutol Ø 18 months: stop ATT