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2011, Number 1

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Rev Med Inst Mex Seguro Soc 2011; 49 (1)

Fagedenic ulcer as appearance of cutaneous disseminate tuberculosis

Serrano-Jaén L, Arévalo-López A, Méndez-Tovar LJ

Language: Spanish
References: 15
Page: 85-88
PDF size: 74.43 Kb.


ABSTRACT

A case about a male patient 31 years with a history of non-healing suppurative lesion on his left index finger that finally required amputation is reported. A year later he developed two ulcers, one of them on the abdominal wall had been present for almost one year reaching a big size (18 × 6.5 cm); the second one was smaller and located on the left proximal arm. Histopathology study showed non-caseating granulomas with positive stain for acid–fast bacillus, and a PCR test was positive for Mycobacterium tuberculosis. Patient was treated with combined treatment against tuberculosis during a year, achieving complete healing. The most outstanding feature of this case report is the clinical expression with an uncommon huge ulcer.


REFERENCES

  1. Sehgal VN, Wagh SA. The history of cutaneous tuberculosis. Int J Dermatol 1990;29(9):666-668.

  2. Baril L, Caumes E, Truffot-Pernot C, Bricaire F, Grosset J, Gentilini M. Tuberculosis caused by Mycobacterium africanum associated with involvement of the upper and lower respiratory tract, skin, and mucosa. Clin Infect Dis 1995;21(3):653-655.

  3. Barbagallo J, Tager P, Ingleton R, Hirsch RJ, Weimberg JM. Cutaneous tuberculosis: diagnosis and treatment. Am J Clin Dermatol 2002;3(5):319-328.

  4. Tappeiner G. Tuberculosis and infections with atypical mycobacteria. En: Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, editores. Fitzpatrick’s dermatology in general medicine. Seventh edition. USA: McGraw-Hill; 2008. p.1768-1781.

  5. Saúl-Cano A. Dermatosis bacterianas. En: Lecciones de dermatología. Décima quinta edición. México: Méndez Editores; 2008. p. 81-210.

  6. Hamada M, Urabe K, Moroi Y, Miyazaki M, Furue M. Epidemiology of cutaneous tuberculosis in Japan: a retrospective study from 1906 to 2002. Int J Dermatol 2004;43(10):727-731.

  7. Garfein RS, Lozada R, Liu L, Laniado-Laborin R, Rodwell TC, Deiss R, et al. High prevalence of latent tuberculosis infection among injection drug users in Tijuana, Mexico. Int J Tuberc Lung Dis 2009;13(5):626-632.

  8. Peto HM, Pratt RH, Harrington TA, LoBlue PA, Armstrong LR. Epidemiology of extrapulmonary tuberculosis in the United States, 1993-2006. Clin Infect Dis 2009;49(9): 1350-1357.

  9. Vidal D, Barnadas M, Pérez M, Coll P, Alomar A. Tuberculous gumma following venipuncture. Br J Dermatol 2001; 144(3):601-603.

  10. Honig E, van der Meijden WI, Groeninx van Zoelen EC, De Waard-van der Spek FB. Perianal ulceration: a rare manifestation of tuberculosis. Br J Dermatol 2000;142 (1)186-187.

  11. Velasco-Pastor M, Vilata-Corell JJ. Tuberculosis cutánea. Piel 1999;14:397-407.

  12. Zazueta-Beltrn, J, León-Sicairos C, Canizalez-Román A. Drug resistant Mycobacterium tuberculosis un Mexico. J Infect Dev Countries 2009;3(3):162-168.

  13. Ramam M, Mittal R, Ramesh V. How soon does cutaneous tuberculosis respond to treatment? Implications for a therapeutic test of diagnosis. Int J Dermatol 2005;44(2):121-124.

  14. Hoon TS, Huan TB, Leok GC, Chong TK, Fong TM, Cheng TW. Detection of Mycobacterium tuberculosis DNA using polymerase chain reaction in cutaneous tuberculosis and tuberculides. Int J Dermatol 1999;38(2):122-127.

  15. Hillemann D, Galle J, Vollmer E, Richter E. Real-time PCR assay for improved detection of Mycobacterium tuberculosis complex in paraffin-embedded tissues. Int J Tuberc Lung Dis 2006;10(3):340-342.




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