Non-healing Wounds: A Delayed Wound Infection by Mycobacterium Tuberculosis.
J Obstet Gynaecol India
; 70(3): 225-229, 2020 Jun.
Article
in En
| MEDLINE
| ID: mdl-32476770
ABSTRACT
INTRODUCTION:
Non-healing wound causes significant morbidity and mortality of patients. One of the rare causes behind non-healing wound infection is M. tuberculosis which often remains undiagnosed.AIM:
The aim of this study was to determine the tuberculosis as one of the causes of non-healing wound.METHODS:
Wounds that did not heal even after secondary suturing and tissue biopsies were sent for histopathological examination. The cases diagnosed with tuberculosis received anti-tubercular treatment. Follow-up was done after 7 and 14 days of treatment, and response was seen in terms of reduction in inflammation and discharge.RESULTS:
Of the 36 patients, five patients had tubercular infection out of which one patient revealed tubercular granuloma, two revealed epitheloid cells, Langhans cells, whereas two revealed non-specific chronic inflammation in histopathology.CONCLUSION:
A high degree of suspicion and tissue biopsy is required in case of delayed or non-healing wounds to diagnose tuberculosis as a cause. Even if typical tubercular granuloma is not visible in histopathology, the presence of epitheloid cells, giant cells, Langhans cells or predominant lymphocytic infiltrate equally suggests tubercular tissue infection.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
J Obstet Gynaecol India
Year:
2020
Document type:
Article