PMC6360976_01
Atrophic scars in the supraclavicular regions bilaterally and in the right
axilla. Purulent fistulae in the right parasternal region and right
axilla
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After four months, other nodules and fistulae appeared in the axillae, left supraclavicular region, and right parasternal region, with persistent purulent secretion (Figures 1 and 2A).
A - Purulent fistula in the left axilla. B.
Erythematous tumoral mass measuring approximately 4cm x 3cm in the left
cervical region
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After four months, other nodules and fistulae appeared in the axillae, left supraclavicular region, and right parasternal region, with persistent purulent secretion (Figures 1 and 2A). Patient was admitted to our service due to the appearance of a fluctuating erythematous tumoral mass without local heat, measuring approximately 4cm x 3cm in the left cervical region (Figure 2B).
Tuberculin skin test result, 25mm x 24mm
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Complementary exams revealed no abnormalities in the front and lateral view chest X-rays, a PPD skin test measuring 25mm x 24mm (Figure 3), and positive secretion smear for acid-fast bacilli in a cervical mass obtained by puncture.
A - Absence of purulent secretion and healed fistula in the left
axilla following treatment B. Involution of the tumoral mass
after six months of treatment
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A treatment regimen consisting of two months of rifampicin, isoniazid, pyrazinamide, and ethambutol was proposed, followed by rifampicin and isoniazid for another four months, with clinical remission (Figure 4).