Multiple Cutaneous Tuberculous Abscess: A Case Report

Cutaneous tuberculosis is a relatively rare form of extrapulmonary tuberculosis. It usually manifests secondary to haematogenous spread or from an underlying focus of infection. We report a case of multiple tuberculous abscesses without any primary focus. A 26-year-old female, presented with polyart...

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Main Authors: Rahul Suna, Ramu Duttaluri
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2017-10-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:http://jcdr.net/articles/PDF/10730/28013_CE(RA1)_F(T)PF1-(VJ_PY)_PFA(MJ_GG).pdf
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author Rahul Suna
Ramu Duttaluri
author_facet Rahul Suna
Ramu Duttaluri
author_sort Rahul Suna
collection DOAJ
description Cutaneous tuberculosis is a relatively rare form of extrapulmonary tuberculosis. It usually manifests secondary to haematogenous spread or from an underlying focus of infection. We report a case of multiple tuberculous abscesses without any primary focus. A 26-year-old female, presented with polyarthalgia since four months and multiple abscesses over the body since three months. No response was seen after taking various courses of antibiotics and analgesics, which was misdiagnosed as bacterial abscesses. Skin biopsy showed multiple epitheloid cell granulomas with multinucleated giant cells suggestive of tuberculosis. After treating the patient with antitubercular therapy, complete resolution of the lesions occurred within four weeks. Tuberculosis with unusual presentations is common in endemic countries like India. A high index of suspicion with regard to cutaneous tuberculosis presenting as multiple abscess and nodule without any underlying lesion is essential.
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spelling doaj.art-2bdf1a5d776141db80dd0ec006afb2b92022-12-21T19:18:46ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research0973-709X2249-782X2017-10-011110RD04RD0510.7860/JCDR/2017/28013.10730Multiple Cutaneous Tuberculous Abscess: A Case ReportRahul Suna0Ramu Duttaluri1Senior Resident, Department of Orthopaedics, Durgabai Deshmukh Hospital, Hyderabad, Telangana, India.Professor and Head, Department of Orthopaedics, Durgabai Deshmukh Hospital, Hyderabad, Telangana, India.Cutaneous tuberculosis is a relatively rare form of extrapulmonary tuberculosis. It usually manifests secondary to haematogenous spread or from an underlying focus of infection. We report a case of multiple tuberculous abscesses without any primary focus. A 26-year-old female, presented with polyarthalgia since four months and multiple abscesses over the body since three months. No response was seen after taking various courses of antibiotics and analgesics, which was misdiagnosed as bacterial abscesses. Skin biopsy showed multiple epitheloid cell granulomas with multinucleated giant cells suggestive of tuberculosis. After treating the patient with antitubercular therapy, complete resolution of the lesions occurred within four weeks. Tuberculosis with unusual presentations is common in endemic countries like India. A high index of suspicion with regard to cutaneous tuberculosis presenting as multiple abscess and nodule without any underlying lesion is essential.http://jcdr.net/articles/PDF/10730/28013_CE(RA1)_F(T)PF1-(VJ_PY)_PFA(MJ_GG).pdfBiopsyExtrapulmonaryGranulomaPolyarthalgiaSkin
spellingShingle Rahul Suna
Ramu Duttaluri
Multiple Cutaneous Tuberculous Abscess: A Case Report
Journal of Clinical and Diagnostic Research
Biopsy
Extrapulmonary
Granuloma
Polyarthalgia
Skin
title Multiple Cutaneous Tuberculous Abscess: A Case Report
title_full Multiple Cutaneous Tuberculous Abscess: A Case Report
title_fullStr Multiple Cutaneous Tuberculous Abscess: A Case Report
title_full_unstemmed Multiple Cutaneous Tuberculous Abscess: A Case Report
title_short Multiple Cutaneous Tuberculous Abscess: A Case Report
title_sort multiple cutaneous tuberculous abscess a case report
topic Biopsy
Extrapulmonary
Granuloma
Polyarthalgia
Skin
url http://jcdr.net/articles/PDF/10730/28013_CE(RA1)_F(T)PF1-(VJ_PY)_PFA(MJ_GG).pdf
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