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Case Reports in Infectious Diseases
Volume 2016, Article ID 8216040, 4 pages
Case Report

A Rare Manifestation of Tuberculosis Presenting in the United States

Department of Medicine, Creighton University, 601 N 30th Street, Omaha, NE 68131, USA

Received 11 July 2016; Accepted 27 November 2016

Academic Editor: Paola Di Carlo

Copyright © 2016 Osman Bhatty et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A 64-year-old Bangladeshi female presented to her primary care physician with a tender right breast lump that had been present for 4-5 days along with subjective fevers and malaise. Initial biopsy revealed granulomas, but Ziehl-Neelsen and Gram stain were negative for TB so antibiotics were prescribed for abscess until culture came positive for tuberculosis. She was started on triple therapy for extrapulmonary tuberculosis, an exceedingly rare presentation that requires high clinical suspicion in the Western world.