There were 6 (11.5%) patients who had lymphadenitis, 24 (46.1%) patients had peri-adenitis, 11 (21.2%) had
cold abscess, 7 (13.4%) had collar stud abscess while 5 (9.6%) had sinus on presentation to hospital.
A painless
cold abscess may be the only presenting clinical feature for a prolonged period.
Tb in the shoulder could be of three types: (a) dry type, or caries sicca; (b) fulminating type, or caries exudata, associated with
cold abscess or sinus formation; or (c) mobile type, where a passive range of motion is preserved, while variable restriction on active movement is noted due to distraction of the joint (Table 1) [3, 7].
A case of cervical and mediastinal lymph nodes tuberculosis, tuberculous pleurisy, spinal caries and
cold abscess in the anterior chest wall.
Fungal osteomyelitis presenting as
cold abscess is rare in the facial bones.
Tubercular
cold abscess is a form of extrapulmonary tuberculosis that is responsible for a significant morbidity and mortality.
Abdominal T.B was seen in 41 (3.4%) cases Pericardial T.B in 29 (2.5%) and
cold abscess was observed in only 17 (1.5%) of the cases.
This study was carried out to evaluate the role of Fine Needle Aspiration Cytology (FNAC) for the diagnosis of Tuberculosis and to estimate the frequency of its presentation as
cold abscess in lower Sindh.
In case of
cold abscess, the biopsy was taken from the wall of the lymph node.
The abscess may be relatively painless like
cold abscess and this was an important clue which made us suspect mycobacterial infection.
A
cold abscess refers to a collection of pus that is not accompanied by other signs of acute septic inflammation.
Complete resection is mandatory for tubercular
cold abscess of the chest wall.