Clinicopathological Features and Treatment outcomes of surgical site Tuberculosis:A Prospective Observational Study

Authors

  • Rajat Sanker Roy Biswas Associate Professor, Department of Medicine, CMOSHMC https://orcid.org/0000-0003-1487-1619
  • A Z M Forman Ullah Associate Professor, Department of Surgery, CMOSHMC, Bangladesh
  • Tahera Begam Professor, Department of Obstetrics & Gynaecology. CMOSHMC, Bangladesh
  • Adiba Malik Associate Professor, Department of Obstetrics & Gynaecology, CMOSHMC, Bangladesh
  • Faraha Naz Mabud Associate Professor, Department of Gynae and Obs, CMOSHMC, Bangladesh
  • Most Sabina Yeasmin Associate Professor, Department of Obstetrics & Gynaecology, CMOSHMC, Bangladesh
  • Shamshun Nahar Bintha Mannan Associate Professor, Department of Dermatology, CMOSHMC, Bangladesh
  • Sadek Hossen Sakib Medical Officer, Department of Medicine, CMOSHMC, Bangladesh
  • Mohiuddin Mohammad Alamgir Assistant Professor, Chest Disease Clinic, Cox’s Bazar, Bangladesh
  • Md Asif Hossain Consultant Medicine, Dhaka Medical College Hospital, Dhaka, Bangladesh https://orcid.org/0009-0008-5708-9997

DOI:

https://doi.org/10.3329/jom.v27i1.88276

Keywords:

Tuberculosis, Surgical site, Outcome, Wound TB, Granulomatous inflammation

Abstract

Introduction: Post-operative surgical-site infection by tuberculosis is rare condition.The objective of the study was to observe clinicopathological features and treatment outcomes of such patients.
Methods: This prospective study conducted on 23 patients with histologically diagnosed surgical site TB. Patients with a history of surgery then non-healing, discharging surgical site for more then one month were included.After tissue diagnosis of TB, anti-TB CAT 1 was given to all patients and observed. Informed written consent from all patients and ethical clearance was taken.
Results: Among 23 patients, most were female (87%) and in the 25 to 36 year age group. Most 19(82.4%) patients were from Gynae and Obs and rest 4(17.6%) were from Surgery. 19(82.4%) patients undergone LSCS with Pfennenstiel incision and others from Surgery. 8 (34.8%) presented with wound gap 17(73.9%) cases with wound pain and all had wound discharge pus(73.9%) or serous(26.1%).Three cases had DM(13.04%). Family history of PTB had 2(8.68%) cases.Among all, 15(65.2%) had MT Positivity (>10 mm), two cases were positive for both pus for AFB and gene Xpert, 16(69.56%) cases had Hb <10gm/dl. All had granulomatous inflammation on histopathology of wound margin tissue. 18(78.26%) patients declared cured, two patients needed extension, one patient had recurrence and two lost follow up.
Conclusion: Surgical site TB is a burden for the patients after recovery from the primary issue. Greater attention to peri-operative and post-operative care is needed to prevent surgical-site TB in our context.

J MEDICINE 2026; 27(1): 35-39

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Published

2026-03-16

How to Cite

Biswas, R. S. R., Ullah, A. Z. M. F., Begam, T., Malik, A., Mabud, F. N., Yeasmin, M. S., … Hossain, M. A. (2026). Clinicopathological Features and Treatment outcomes of surgical site Tuberculosis:A Prospective Observational Study. Journal of Medicine, 27(1), 35–39. https://doi.org/10.3329/jom.v27i1.88276

Issue

Vol. 27 No. 1 (2026)

Section

Original Articles

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