Unusual cold abscesses

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Abstract
Fifteen young adults with soft-tissue tuberculous lesions were treated with antituberculous drugs and early surgical evacuation. The incidence of adolescent and young adult Asian immigrants is noted. The significance of subcutaneous fluctuant swellings in this section of the population is noteworthy. The florid nature of these lesions was also noted. The response to treatment was, on the whole, favourable. The particular hazard of delayed wound healing in lower-limb lesions is noted. Culture of abscess contents almost always yielded a growth of Mycobacterium tuberculosis which can be subjected to sensitivity testing. After wound healing has been achieved, domiciliary treatment with 300 mg. isoniazid and 12 g. PAS or PAS-isoniazid cachets 2–3 t.i.d. is recommended.

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