Primary Cutaneous Tuberculosis Misdiagnosed as a Deep Mycotic Infection
| Author | Alireza Fatemi | en |
| Author | Parviz Toossi | en |
| Author | Bahareh Asadzadeh | en |
| Author | Fahimeh Abdollahimajd | en |
| Orcid | Fahimeh Abdollahimajd [0000-0002-9463-0665] | en |
| Issued Date | 2019-12-31 | en |
| Abstract | Introduction: Primary cutaneous tuberculosis (PCTB) is a relatively uncommon presentation, particularly in immunocompetent subjects and its diagnosis may be delayed, as it resembles many other skin infections. Case Presentation: The authors reported a case of PCTB in a 41-year-old Iranian female who presented with a 2 × 5 cm, erythematous swollen skin lesion over the dorsal aspect of the finger that had been diagnosed as a bacterial infection; after admission, the diagnosis of tuberculosis was also masked by a positive polymerase chain reaction for deep mycoses which resulted in a delay in treatment and several months of morbidity. The mycobacterial infection was confirmed by a positive culture for M. tuberculosis and the patient responded well to the anti-TB treatment. Conclusions: A diagnosis of PCTB should be kept in mind in all patients who present with a chronic skin infection (especially nodular, ulcerated, and purulent lesions) with no response to initial antibacterial therapy. | en |
| DOI | https://doi.org/10.5812/archcid.14572 | en |
| Keyword | Cutaneous | en |
| Keyword | Primary | en |
| Keyword | Tuberculosis | en |
| Keyword | Mycoses | en |
| Publisher | Brieflands | en |
| Title | Primary Cutaneous Tuberculosis Misdiagnosed as a Deep Mycotic Infection | en |
| Type | Case Report | en |