Cold abscess is a local manifestation of a condition which must be
regarded as a general disease that is tuberculosis.
The development of cold abscess will usually be a chronic process
with or without intercurrent or/and recent infection
Therefore the general treatment would be AKT, nutrition and protection
from concurrent infections
The local mass lesion should be managed as per its situation and
clinical scenario to prevent morbidity and to obtain best cosmetic result.
Chemotherapy includes rifampicin. INH, and pyrazinamide in first 2
months of intensive therapy. This will be followed by four months therapy with
INH and rifampicin.Addition of etambutol or streptomycin will depend upon
additional risk factors present .
As the mycobacterial population is relatively small in children
isolated cold abscess in general are treated for 6 months and therapy beyond
that is usually not required
Thanks for the invitation to
Dr. Abhay K. Shah
Imm. Past Secretary, IAP GSB
Past EB member, Central IAP
Children Hospital, OPP. Radhavallabh Mandir
Maninagar, Ahmedabad, Gujarat