Tuberculous gumma as a cutaneous manifestation of disseminated tuberculosis

Authors

  • Nathalie Morales
  • Diego Espinosa
  • Juliana Calle
  • Ana Cristina Ruiz
Abstract Authors References How to Cite Downloads

Abstract

The tuberculous gumma is a rare cutaneous manifestation of tuberculosis that occurs as a result of hematogenous spread. The microbiological isolation of the organism may be difficult, so in the setting of a very suspicious case in the absence of microbiological confirmation, we suggest to start empirical antimicrobiological therapy and to assess the answer to it.

We report a case of tuberculosis gumma as a cutaneous manifestation of disseminated tuberculosis with pulmonary and bone involvement, with an adequate response to tuberculosis treatment.

Author Biographies

Nathalie Morales

Médica, residente de Dermatología, Universidad CES, Medellín, Colombia

Diego Espinosa

Médico dermatólogo; docente de Dermatología, Universidad CES, Medellín, Colombia

Juliana Calle

Médico dermatólogo; docente de Dermatología, Universidad CES, Medellín, Colombia

Ana Cristina Ruiz

Médica dermatopatóloga; docente de Dermatopatología, Universidad CES, Medellín, Colombia

References

1. Sharma SK, Mohan A. Extrapulmonary tuberculosis. Indian J Med Res. 2004;4:316-53.

2. Mandell GL, Bennett JE, Dolin R. Mandell, Douglas, and Bennett’s principles and practice of infectious diseases. Seventh edition. Philadelphia, PA: Churchill Livingstone-Elsevier; 2009.

3. Sharma SK, Mohan A, Sharma A, Mitra DK. Miliary tuberculosis: New insights into an old disease. Lancet Infect Dis. 2005;5:415-30.

4. Chaturaka R, Inoshi A. Delay in diagnosis of generalized military tuberculosis with osteo-articular involvement: A case report. J Med Case Rep. 2011;5:512-5.

5. Almagro M, Del Pozo J, Rodrıguez J, García J, Yebra-Pimentel MT, Fonseca E. Metastatic tuberculous abscesses in an immunocompetent patient. Clin Exp Dermatol. 2005;30:247-9.

6. Saral Y, Coskun BK, Ozturk P, Bulut Y, Cobanoglu B. Multiple metastatic tuberculosis abscesses in a patient with Pott disease and lung tuberculosis: A case report. J Cutan Pathol. 2005;32:629-33.

7. Bravo F, Gotuzzo E. Cutaneous tuberculosis. Clin Dermatol J. 2007;25:173-80.

How to Cite

1.
Morales N, Espinosa D, Calle J, Ruiz AC. Tuberculous gumma as a cutaneous manifestation of disseminated tuberculosis. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 2019 Aug. 9 [cited 2024 Jul. 3];21(1):80-4. Available from: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/1006

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Published

2019-08-09

How to Cite

1.
Morales N, Espinosa D, Calle J, Ruiz AC. Tuberculous gumma as a cutaneous manifestation of disseminated tuberculosis. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 2019 Aug. 9 [cited 2024 Jul. 3];21(1):80-4. Available from: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/1006

Issue

Vol. 21 No. 1 (2013): January - March

Section

Case Report
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