TMSS Medical College Journal

Background: Surgical site infections causes significant morbidity and mortality of patients and causes more difficult to treat if unexpected cause behind the infection like tuberculosis. Delayed surgical site infection after initial healing are uncomfortable for both surgeons and patient. Methods: Wound tissue from 18 patients with delayed surgical site infection not responding to antibiotics used for pyogenic infection were collceted and examined histopathologically. Kesults: Or the lo patients, y revealed histologically tuberculosis, " non-specilic chronic inflammation and others. Results: Of the 18 patients, 9 revealed histologically tuberculosis, 7 non-specific chronic inflammation and others showed foreign body granulomma. Association between histopathological report and incidence of tuberculosis is significant (p<0.001) and association between onset of infection and incidence of tuberculosis also significant (p<0.05)- Conclusion: A high degree of suspicion is required in case of delayed or recurrent surgical site infection to diagnose tuberculosis as a cause

Tuberculosis remains a major global health problem ranks as the second leadine cause of death!. The latest estimates 8.7 million new cases in 2011 and 1.4 million died from tuberculosis!. Geographically, the burden of tuberculosis is highest (26%) in Indial. The country, Bangladesh ranks 6th among 22 highest burden countries in the world?. Postoperative surgical site infection is common in almost all countries of the world and it varies from patient to patient, hospital to hospital and depending upon various factors'. But surgical site infection due to tuberculosis is a rare entity, in most cases, is caused by reactivation of dormant tuberculosis, spread of the infection by either haematogenous route or direct inoculation from exterior or from a tuberculous abdominal lymph node or extension from underlying tubercular lesions+5.