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A case of tuberculous cellulitis.

Taguchi R, Nakanishi T, Imanishi H, Ozawa T, Tsuruta D - Clin Med Insights Case Rep (2015)

Bottom Line: We describe a rare case of cutaneous TB where cellulitis-like symptoms are presented.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Osaka City University Graduate School of Medicine, Osaka, Japan.

ABSTRACT
We describe a rare case of cutaneous TB where cellulitis-like symptoms are presented.

No MeSH data available.


Related in: MedlinePlus

(A) Erythematous swelling of the right thumb with erosion and maceration. (B) Epidermal necrosis, neutrophilic infiltration in the mid dermis (hematoxylin-eosin (HE), original magnification ×40). (C) Caseous necrosis surrounded by histiocytes (HE ×400). (D) Ziehl–Neelsen staining demonstrated acid-fast bacilli (×400).
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f1-ccrep-8-2015-011: (A) Erythematous swelling of the right thumb with erosion and maceration. (B) Epidermal necrosis, neutrophilic infiltration in the mid dermis (hematoxylin-eosin (HE), original magnification ×40). (C) Caseous necrosis surrounded by histiocytes (HE ×400). (D) Ziehl–Neelsen staining demonstrated acid-fast bacilli (×400).

Mentions: A 67-year-old woman, receiving oral steroid therapy for SLE, presented to her physician because of fever (>38 °C) and arthralgia. Her steroid dosage was increased with suspicion of SLE exacerbation. Subsequently, she developed redness, swelling, and blistering on the right thumb, and then was referred to our hospital. Clinical examination revealed erythematous swelling on the right thumb with erosion and maceration (Fig. 1A). We diagnosed it as bacterial cellulitis and treated her with antibiotics and antiviral agents, but her symptoms did not improve. Therefore, we performed skin biopsy of the right thumb. Histopathologic examination revealed caseous necrosis surrounded by histiocytes and a positive result was obtained for acid-fast bacilli by Ziehl–Neelsen staining (Fig. 1B–D). In addition, polymerase chain reaction (PCR) assay of the biopsy specimen identified tubercle group bacilli. Based on these results, we made a diagnosis of TB cellulitis and started to treat the patient with isoniazid, ethambutol, rifampicin, and pyrazinamide. Her symptoms completely resolved after the treatment.


A case of tuberculous cellulitis.

Taguchi R, Nakanishi T, Imanishi H, Ozawa T, Tsuruta D - Clin Med Insights Case Rep (2015)

(A) Erythematous swelling of the right thumb with erosion and maceration. (B) Epidermal necrosis, neutrophilic infiltration in the mid dermis (hematoxylin-eosin (HE), original magnification ×40). (C) Caseous necrosis surrounded by histiocytes (HE ×400). (D) Ziehl–Neelsen staining demonstrated acid-fast bacilli (×400).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4325702&req=5

f1-ccrep-8-2015-011: (A) Erythematous swelling of the right thumb with erosion and maceration. (B) Epidermal necrosis, neutrophilic infiltration in the mid dermis (hematoxylin-eosin (HE), original magnification ×40). (C) Caseous necrosis surrounded by histiocytes (HE ×400). (D) Ziehl–Neelsen staining demonstrated acid-fast bacilli (×400).
Mentions: A 67-year-old woman, receiving oral steroid therapy for SLE, presented to her physician because of fever (>38 °C) and arthralgia. Her steroid dosage was increased with suspicion of SLE exacerbation. Subsequently, she developed redness, swelling, and blistering on the right thumb, and then was referred to our hospital. Clinical examination revealed erythematous swelling on the right thumb with erosion and maceration (Fig. 1A). We diagnosed it as bacterial cellulitis and treated her with antibiotics and antiviral agents, but her symptoms did not improve. Therefore, we performed skin biopsy of the right thumb. Histopathologic examination revealed caseous necrosis surrounded by histiocytes and a positive result was obtained for acid-fast bacilli by Ziehl–Neelsen staining (Fig. 1B–D). In addition, polymerase chain reaction (PCR) assay of the biopsy specimen identified tubercle group bacilli. Based on these results, we made a diagnosis of TB cellulitis and started to treat the patient with isoniazid, ethambutol, rifampicin, and pyrazinamide. Her symptoms completely resolved after the treatment.

Bottom Line: We describe a rare case of cutaneous TB where cellulitis-like symptoms are presented.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Osaka City University Graduate School of Medicine, Osaka, Japan.

ABSTRACT
We describe a rare case of cutaneous TB where cellulitis-like symptoms are presented.

No MeSH data available.


Related in: MedlinePlus