A case of tuberculous gumma: there is more to it than meets the eye.
Srikant MohtaArvind KumarNayani SinghNaveet WigPublished in: BMJ case reports (2017)
We present a case of a young girl who presented with multiple cutaneous abscesses over 2 years at different sites. She had no constitutional symptoms or history of tuberculosis. On investigation, she was found to have rifampicin-sensitive tuberculosis presenting as tubercular gumma, a rare form of cutaneous tuberculosis which occurs due to haematogenous spread of the bacilli. She had disseminated disease involving the spinal column with associated psoas abscess. A thorough evaluation was done for immune-deficiency workup but was all negative. She was given antitubercular therapy and showed a good response to therapy at a follow-up of 1 month.
Keyphrases
- mycobacterium tuberculosis
- pulmonary tuberculosis
- hiv aids
- spinal cord
- stem cells
- replacement therapy
- gram negative
- emergency department
- depressive symptoms
- mesenchymal stem cells
- liquid chromatography
- middle aged
- human immunodeficiency virus
- sleep quality
- mass spectrometry
- bone marrow
- hiv infected
- multidrug resistant
- smoking cessation