DOI: 10.36347/sjmcr.2015.v03i01.001

Pages: 1-3

Tuberculosis is a major public health problem in the world. It has further been complicated by the spread of the Human Immunodeficiency virus (HIV), as well as by the increased drug resistance. We report here a patient who was previously treated for pulmonary tuberculosis and later on developed tubercular mediastinal lymphadenopathy and a large cold abscess over chest wall. He did not respond to the first line anti tubercular drugs. Later on, drug susceptibility test was done and the diagnosis was found to be Multi Drug Resistant Tuberculosis (MDR-TB). He was started on the 2nd line of anti tubercular drugs since 6 months and is doing well.