Clinicopathological study of tuberculous brain abscess

Shrijeet Chakraborti, Anita Mahadevan, Aparna Govindan, S. Nagarathna, Vani Santosh, T. C. Yasha, B. Indira Devi, B. A. Chandramouli, Jerry M.E. Kovoor, A. Chandramuki, S. K. Shankar

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Central nervous system tuberculosis is still one of the leading causes of morbidity in the developing world, and tuberculous abscess is one of its uncommon manifesting forms. It closely mimics a pyogenic abscess clinically, radiologically, and histologically. An accurate diagnosis is imperative due to therapeutic implications. In this study, 21 cases of tuberculous abscesses encountered over a period of 13 years (1995-2007) were reviewed to study the clinical, radiological, and histopathological spectrum of the disease. The presence of palisading epithelioid cells and sheets of foamy histiocytes, enclosing a neutrophillic exudate rich in fibrin with nuclear debris, were clues as to suspicion of a tuberculous abscess. The demonstration of acid fast bacilli in the wall of the abscess or necrotic contents by microscopy or culture is essential to confirm the diagnosis of tuberculous abscess. A high index of clinical suspicion is necessary particularly in countries endemic for tuberculosis to ensure an accurate diagnosis and application of an appropriate therapy.

Original languageEnglish
Pages (from-to)815-822
Number of pages8
JournalPathology Research and Practice
Volume205
Issue number12
DOIs
Publication statusPublished - 15-12-2009

Fingerprint

Brain Abscess
Abscess
Central Nervous System Tuberculosis
Epithelioid Cells
Histiocytes
Exudates and Transudates
Fibrin
Bacillus
Microscopy
Tuberculosis
Morbidity
Acids
Therapeutics

All Science Journal Classification (ASJC) codes

  • Pathology and Forensic Medicine
  • Cell Biology

Cite this

Chakraborti, S., Mahadevan, A., Govindan, A., Nagarathna, S., Santosh, V., Yasha, T. C., ... Shankar, S. K. (2009). Clinicopathological study of tuberculous brain abscess. Pathology Research and Practice, 205(12), 815-822. https://doi.org/10.1016/j.prp.2009.05.012
Chakraborti, Shrijeet ; Mahadevan, Anita ; Govindan, Aparna ; Nagarathna, S. ; Santosh, Vani ; Yasha, T. C. ; Indira Devi, B. ; Chandramouli, B. A. ; Kovoor, Jerry M.E. ; Chandramuki, A. ; Shankar, S. K. / Clinicopathological study of tuberculous brain abscess. In: Pathology Research and Practice. 2009 ; Vol. 205, No. 12. pp. 815-822.
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Chakraborti, S, Mahadevan, A, Govindan, A, Nagarathna, S, Santosh, V, Yasha, TC, Indira Devi, B, Chandramouli, BA, Kovoor, JME, Chandramuki, A & Shankar, SK 2009, 'Clinicopathological study of tuberculous brain abscess', Pathology Research and Practice, vol. 205, no. 12, pp. 815-822. https://doi.org/10.1016/j.prp.2009.05.012

Clinicopathological study of tuberculous brain abscess. / Chakraborti, Shrijeet; Mahadevan, Anita; Govindan, Aparna; Nagarathna, S.; Santosh, Vani; Yasha, T. C.; Indira Devi, B.; Chandramouli, B. A.; Kovoor, Jerry M.E.; Chandramuki, A.; Shankar, S. K.

In: Pathology Research and Practice, Vol. 205, No. 12, 15.12.2009, p. 815-822.

Research output: Contribution to journalArticle

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Chakraborti S, Mahadevan A, Govindan A, Nagarathna S, Santosh V, Yasha TC et al. Clinicopathological study of tuberculous brain abscess. Pathology Research and Practice. 2009 Dec 15;205(12):815-822. https://doi.org/10.1016/j.prp.2009.05.012