[A case of cutaneous tuberculosis evolving for 50 years]. / Un cas de tuberculose cutanée évoluant depuis plus de 50 ans.
Ann Dermatol Venereol
; 147(10): 653-657, 2020 Oct.
Article
en Fr
| MEDLINE
| ID: mdl-32386803
ABSTRACT
INTRODUCTION:
Tuberculosis is an infection caused by Mycobacterium (M.) tuberculosis. It is rare in France. Clinical presentations vary, making demonstration of the cause of M. Tuberculosis difficult and rendering diagnosis and management difficult. PATIENTS ANDMETHODS:
A 58-year-old man, born in Morocco, consulted for ulceration of the right forefoot that had been present since the age of 3 years. He had previously consulted at several dermatology departments. He had undergone numerous skin biopsies and bacteriological and mycobacteriological cultures but these did not contribute to the diagnosis. Slow extension and oozing were observed over time and resulted in functional disability. Given the evocative clinical aspect and despite further negative screening for mycobacteria, anti-TB quadrotherapy was prescribed and resulted in complete cure of the lesion.DISCUSSION:
This case underscores the difficulty of diagnosing cutaneous tuberculosis. Such a diagnosis must be clinically suspected in the presence of long lasting destructive or verrucous skin lesions that fail to heal, even where cultures are negative, and anti-TB therapy should be putatively prescribed.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Tuberculosis Cutánea
/
Mycobacterium tuberculosis
Tipo de estudio:
Diagnostic_studies
Límite:
Child, preschool
/
Humans
/
Male
/
Middle aged
País como asunto:
Africa
Idioma:
Fr
Año:
2020
Tipo del documento:
Article