Purpose: To highlight the diagnostic challenges of breast tuberculosis. Mammary tuberculosis is a rare disease. Its clinical and radiological characteristics are similar to other breast diseases in young women, such as granulomatous mastitis and breast carcinoma. Materials and Methods: We report a case of primary tuberculosis of a 34 years old woman who presented bilateral abscess with refractory secretion of blood and pus drainage to previous treatment with conventional antibiotic therapy of granulomatous mastitis. Results: A tuberculous mammary was observed and confirmed in the case. The diagnosis was based on imaging tests and complementary tests. Anti-tuberculosis treatment was prescribed during 6 months, and the evolution was favorable for one patient. Conclusion: Tuberculosis continued to present diagnostic difficulties, particularly in its breast tuberculosis form.
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