Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

31 October 2008

Mycobacterium tuberculosis infection presenting with cutaneous abscess, osteomylitis: A case report and review of the literature

Kamal Esalatmanesh, Zahra Soleimani

Am J Case Rep 2008; 9:415-418 :: ID: 869448

Abstract

Background: Mycobacterium tuberculosis is a multi-systemic infection. Extrapulmonary manifestation and pleural tuberculosis occurs in 5% of tuberculosis. M tuberculosis is rarely associated with cutaneous or osteoarticular infection. Overall cutaneous tuberculosis accounts for 14% of all cases of tuberculosis .
Case Report: Herein a case of mycobacterium tuberculosis infection presenting with cutaneous abscess,osteomylitis is reported. A 16-year-old Afghanian female immigrant presented to his internist with a 4×3 cm right ankle and foot abscess and cellulites, 3×3 cm left palmar abcess, 5×6 cm sternal abcess and cellulitis which had been present for 2 month. Foot X Ray reveal osteomylitis in third metatars and coniform. Spiral CT scan of the chest demonstrated a low density area (3.0×5.2 cm with central low density, suggestive of necrosis) with irregular border and enhancement inside the R.pectoralis major muscle with partial extension to the intra thorasic area. Purified protein derivative (PPD) was 22mm. Biopsy of soft tissue from foot (and culture) was negative for mycobacterium, fungi, and nocardia. Biopsy from bone reveal: caseous granulum, and growth of acid fast bacill (mycobacterium tuberculosis) after 45 days. The patient responded favorably to standard anti tuberculous regimen. Our case is very good after 12 months.
Conclusions: Cutaneous tuberculosis should be included in the differential diagnosis of patients with cutaneous abscesses or musculoskeletal complaints, particularly in high risk populations such as immigrants from endemic regions and immunosupressed patients. He underwent to cure and improvement
with anti tuberculous regimen.

Keywords: Mycobacterium tuberculosis, cutaneous abscess, osteomylitis

Add Comment 0 Comments

In Press

Case report  USA

A Prefixed Four-Trunk Brachial Plexus with Anomalous Anatomy of All Subsequent Divisions, Cords, and Termin...

Am J Case Rep In Press; DOI: 10.12659/AJCR.943866  

0:00

Case report  USA

Rapid Progression of Malignant Peritoneal Mesothelioma Mimicking a Postoperative Complication in a Young Wo...

Am J Case Rep In Press; DOI: 10.12659/AJCR.942948  

0:00

Case report  Italy

Columella Reconstruction Using a Bilateral Nasolabial Flap: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.943913  

Case report  USA

Successful Surgical Extraction of an Embolized Iliac Vein Stent from the Right Heart: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.943620  

Most Viewed Current Articles

07 Mar 2024 : Case report  USA

Neurocysticercosis Presenting as Migraine in the United States

DOI :10.12659/AJCR.943133

Am J Case Rep 2024; 25:e943133

0:00

10 Jan 2022 : Case report  Germany

A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...

DOI :10.12659/AJCR.935263

Am J Case Rep 2022; 23:e935263

19 Jul 2022 : Case report  Saudi Arabia

Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19

DOI :10.12659/AJCR.936128

Am J Case Rep 2022; 23:e936128

23 Feb 2022 : Case report  USA

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923