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[Lupus vulgaris as a complication of pulmonary tuberculosis--case report].

Abstract

Tuberculosis is a contagious disease induced by Mycobacterium species, acid-fast bacilli. These are mostly human type--Mycobacterium tuberculosis, less often cattle type--mycobacterium bovis or other: mycobacterium avium, kansasii, marinom, scrofulaceum, heamophilium, gordonae. The infection can affect all organs, but pulmonary tuberculosis is the most common form. The importance of tuberculosis is definitely rising in the context of massive population migrations in regions affected by its higher incidence, increased HIV infections and AIDS development. Cutaneous tuberculosis is a particular tuberculosis form with differentiated clinical picture. Non-typicalness of skin changes and oligobacilleous course of extrapulmonary tuberculosis forms are repeatedly causing difficulties in adequate diagnosis and early treatment. In differential diagnostics of cutaneous tuberculosis one must take leishmaniasis, actinomycosis, leprosy, syphilis and deep mycosis (among others) into consideration. The study is presenting a case of lupus vulgaris as a complication of past pulmonary tuberculosis. In bacteriological diagnostics of skin changes bioptates, no tuberculosis mycobacteria were found. The disease was diagnosed based on specific granulation presence in histopathology test, tuberculin hypersensivity, bacilli DNA presence in polymerase chain reaction (PCR) test and skin changes regression after anti-mycobacterium treatment. According to authors of the study, the described case confirms the usefulness of PCR nucleonic acids amplification test in cutaneous tuberculosis diagnosis.

More information

Type
Journal Article
Author
Owczarek W
Targowski T
Kozera-Zywczyk A
Paluchowska E
Patera J
Year of Publication
2009
Journal
Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego
Volume
27
Issue
160
Number of Pages
326-30
Date Published
2009 Oct
Language
pol
ISSN Number
1426-9686
DOI
10.2165/11310740-000000000-00000
Alternate Journal
Pol. Merkur. Lekarski
Publication Language
pol

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