Cold Abscess of Bilateral Parotids: Delusion or Reality?

Cold Abscess of Bilateral Parotids: Delusion or Reality?

Blog Article

Tuberculosis being endemic in country like India can affect any organ though sally hansen red iance pulmonary tuberculosis is rampant and extrapulmonary is rare.Tuberculosis affecting parotid gland is a rare occurrence, usually unilateral.However, Mycobacterium tuberculosis causing cold abscess in bilateral parotid glands is even rarer.

Here, we present a case of a young female presented with bilateral slow-growing swelling in the parotid region with evening raise of temperature for two months.On clinical examination, no signs of inflammation were seen.Ultrasonography showed thick-walled hypoechoic collection with septae and internal echoes within involving both superficial and deep lobes of the parotid gland.

Fine-needle aspiration cytology (FNAC) suggested a caseating granuloma and acid fast bacilli were detected on ZN staining, thereby confirming qf1510 the diagnosis of cold abscess.She was put on antitubercular drugs and there was a drastic reduction in the size of swelling.