A rare case of multiple lupus vulgaris in a multifocal tuberculosis pediatric patient.
TLDR
The uncommonness of the skin involvement in TB infection should warn the clinicians to commit every possible examination to detect the TB involvement in other organs, especially in immunocompromised children with suspected skin lesions.Abstract:
Multifocal tuberculosis (TB) is rare. The risk of occurrence of multifocal TB is increasing in immunocompromised patients. Cutaneous entanglement in multifocal TB occurs more infrequently, and its association with multifocal TB is scarcely reported. The aim of this case report was to show a rare case of lupus vulgaris accompanied by multifocal skeletal TB (vertebrae and knee joint) in a 15-year-old girl. There were kyphosis and deformities seen on physical examination. Dermatological status showed an erythematous plaque on the cheek and an erythematous nodule on the index finger of the left hand. The additional examinations such as bacteriological, histopathological, and polymerase chain reaction (PCR) examinations supported the diagnosis of cutaneous TB. Radiographic and PCR examinations confirmed the diagnosis of multiple skeletal TB. Mycobacterium tuberculosis was obtained from GeneXpert® examination of the skin lesion on the right cheek and synovial fluid of the knee. Therefore, multifocal TB could be confirmed in this patient. The uncommonness of the skin involvement in TB infection should warn the clinicians to commit every possible examination to detect the TB involvement in other organs, especially in immunocompromised children with suspected skin lesions.read more
Citations
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References
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Childhood cutaneous tuberculosis: a study over 25 years from northern India.
TL;DR: In this paper, the authors analyse the pattern of childhood cutaneous tuberculosis prevailing in northern India over the past 25 years and to highlight differences from and similarities to adult tuberculosis, where the majority of the children, 41 (54.7%) were in the 10-14-year age group.
Journal ArticleDOI
Incidence of cutaneous tuberculosis in patients with organ tuberculosis.
TL;DR: The development of resistance to antituberculitic drugs and the increase in diseases and conditions associated with immunodeficiency such as AIDS and chemotherapy have caused tuberculosis to increase recently, and the incidence of cutaneous tuberculosis has been increasing as well.
Journal ArticleDOI
Cutaneous tuberculosis in children.
Gomathy Sethuraman,V. Ramesh +1 more
TL;DR: Cutaneous tuberculosis is a rare form of extrapulmonary tuberculosis that accounts for 1% to 2% of cases and can be severe and have a protracted course in children.
Journal Article
Multifocal systemic tuberculosis: the many faces of an old nemesis.
TL;DR: Multifocal systemic tuberculosis may pose a diagnostic challenge and may occur in immunocompetent hosts, in whom this entity generally has a good outcome.
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Cutaneous tuberculosis revealing multifocal tuberculosis in immunocompetent patients.
Amraoui N,S. Krich,Mariame Meziane,Gallouj S,Abid H,A Elmrini,K Moumna,T. Harmouch,Fatima-Zahra Mernissi +8 more
TL;DR: 7 cases of multifocal TB with cutaneous localization in immunocompetent patients with no context of immunosuppression are reported, but should be kept in mind, especially in endemic countries.