[The cold tuberculous abscess. A forgotten entity? Considerations based on an autopsy case].

UNLABELLED: We present the clinical case of a 28-year old male with pulmonary and extrapulmonary tuberculosis in absence of HIV infection; who also presented a left iliac psoas abscess of torpid evolution simulating an strangulated hernia and died of a sepsis due to colonic perforations by anaerobics and E. histolytica.

MATERIAL AND

METHODS

Histological sections of the autopsy were studied with hematoxilin-eosin, Gram and Ziehl-Neelsen stains.

RESULTS

Autopsy study showed bilateral cavitated tuberculosis, Pott disease of thoracic spine and a cold tuberculous abscess on both psoas muscle and the lower third of the left thigh. Descending colonic perforation were identified, the responsible microorganism were Staphylococcus albus, Klebsiella sp, and E. coli.