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

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., Mannan, S. N. B., Sakib, S. H., Alamgir, M. M., & 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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How to Cite

Biswas, R. S. R., Ullah, A. Z. M. F., Begam, T., Malik, A., Mabud, F. N., Yeasmin, M. S., Mannan, S. N. B., Sakib, S. H., Alamgir, M. M., & 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