Primary Inoculation Tuberculosis

Primary inoculation tuberculosis in two children confined to the face was seen over a period of six months the first case was an eleven year old boy with a painless non-healing ulcerative nodule over the left ala nasi with matted' non-tender submandibular lymphadenopath-y of 2 months duration. Mantoux test and biopsies of the lesion and the lymph node helped in the diagnosis. The second child was a six-year-old boy with a painless ulcerative lesion over the left cheek of 5 weeks duration. The left submandibular group of lymph nodes were enlarged, non-tender and matted. Aspiration cytology showed eptihelioid cells, lymphocytes, polymorphs and eosinophils. Mantoux test negative initially became positive by 2 months. The lesion started subsiding with antitubercular treatment in both the cases.