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[Tuberculosis cutis colliquativa in lymph node tuberculosis]

S Golsch1, R Engst, B Schön

  • 1Dermatologische Klinik und Poliklinik, Technischen Universität München.

Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete
|July 1, 1994
PubMed
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Tuberculosis colliquativa cutis, or scrofuloderma, is a rare skin manifestation of tuberculosis. This case highlights successful treatment of scrofuloderma originating from cervical lymph node tuberculosis using a standard triple drug regimen.

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Microbiology

Background:

  • Scrofuloderma, a form of cutaneous tuberculosis, typically arises from contiguous spread from underlying infected structures, most commonly tuberculous lymphadenitis.
  • Cervical lymph node tuberculosis is a significant extrapulmonary manifestation, particularly in endemic regions.

Observation:

  • A 75-year-old woman presented with skin lesions consistent with scrofuloderma, which had developed secondary to tuberculosis of the cervical lymph nodes.
  • The diagnosis was confirmed through microbiological culture of biopsied skin and underlying lymph node tissue, identifying Mycobacterium tuberculosis.

Findings:

  • The patient's scrofuloderma resolved completely within two months of initiating a standard triple-drug antitubercular regimen.
  • Follow-up at six months showed normalization of the affected lymph nodes, indicating successful treatment of the primary tuberculous infection.

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Implications:

  • This case underscores the importance of considering cutaneous tuberculosis in the differential diagnosis of persistent skin lesions, especially in patients with risk factors for tuberculosis.
  • Prompt diagnosis and appropriate multidrug therapy are crucial for effective management and resolution of scrofuloderma and underlying tuberculous lymphadenitis.
  • The study emphasizes the efficacy of standard antitubercular drug regimens in treating this rare but treatable form of cutaneous tuberculosis.