A Rare Case of Tubercular Breast Abscess in a Young Immunocompetent Non-Lactating Female

Tuberculosis (TB) is a major public health problem in India accounting for one-fourth of the global incident TB cases annually and associated with high morbidity and mortality if not treated adequately. However, breast tuberculosis is a very rare entity with an incidence between 0.1%-3% of all breast diseases, and approximately 4% incidence among breast diseases in TB endemic countries. Here we are reporting a rare case of primary tubercular abscess in the subareolar region of right breast of a young non-lactating female that initially presented with a painful lump and non-specific symptoms. Ultrasound breast suggested breast abscess and diagnosis of tuberculosis was made by FNAC (Fine Needle Aspiration Cytology) and ZN Staining (Ziehl Neelson Staining) of the pus which was confirmed on culture. Patient was started on anti-tubercular therapy and responded well on follow up.