A 42-year-old male presented in June of 2011 with nocturnal fevers, night sweats, an 8-kg weight loss, and a cutaneous right chest wall mass. In March of 2013, a computed tomographic scan of the thorax showed a 54 x 18 x 26-mm right lower lobe mass with peripheral calcifications, and in May of 2013, he was admitted for a segmental lobectomy, in which histologic examination of the pulmonary tissue revealed granulomas with multinucleated giant cells. The tissue was negative for acid-fast bacillae on Ziehl-Neelsen stain, and culture grew Mycobacterium tuberculosis. Therefore, he was started on four first-line antituberculosis medications and showed rapid symptomatic improvement.
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机译：一名42岁的男性于2011年6月出现夜间发烧，盗汗，体重减轻8千克，皮肤右胸壁肿块。 2013年3月，胸部X线计算机断层扫描显示右下叶肿块54 x 18 x 26毫米，周围钙化; 2013年5月，他被接受肺段节段切除术，其中肺部组织学检查组织显示肉芽肿多核巨细胞。 Ziehl-Neelsen染色的组织中抗酸杆菌为阴性，并且培养物生长了结核分枝杆菌。因此，他开始使用四种一线抗结核药物并表现出快速的症状改善。
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