Rare case of cystic anterior mediastinal tuberculosis in an immunocompetent patient. Issue 7 (7th June 2022)

• Record Type: Journal Article
• Authors: Butler, Jessica; Barry, Simone
• Is Part Of: Respirology case reports. Volume 10:Issue 7(2022)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2022-06-07
• Subjects: cystic -- mass -- mediastinal -- Mycobacterium tuberculosis; Respiratory organs -- Diseases -- Periodicals; 616.2005
• DOI: 10.1002/rcr2.987
• Languages: English
• ISSNs: 2051-3380

Abstract

Abstract: We report a case of a 28‐year‐old immunocompetent woman found to have a mediastinal lesion on chest x‐ray performed as part of a visa renewal process. Computed tomographic imaging revealed a cystic superior anterior mediastinal mass. Although initially asymptomatic, the woman subsequently developed progressive chest discomfort. She underwent surgical resection of the mass. Histological assessment demonstrated necrotizing granulomatous inflammation, while Gene Xpert™ testing was positive for Mycobacterium tuberculosis complex and she was subsequently commenced on anti‐tuberculous therapy. Abstract : We report a rare case of a 28‐year‐old immunocompetent woman found to have a cystic superior anterior mediastinal mass. She underwent surgical resection of the mass and, based on histological appearances of necrotizing granulomatous inflammation and a Gene Xpert™ positive for Mycobacterium tuberculosis complex, she was subsequently commenced on anti‐tuberculous therapy.