A Case of Pulmonary Tuberculosis Preceded by Skin Tuberculosis

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  • FUJITA Masaki
    Research Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University
  • NAKANISHI Yo-ichi
    Research Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University
  • HAMADA Manabu
    Dermatology, Graduate School of Medical Sciences, Kyushu University
  • HAMADA Naoki
    Research Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University
  • KUWANO Kazuyoshi
    Research Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University
  • FURUE Masutaka
    Dermatology, Graduate School of Medical Sciences, Kyushu University

Bibliographic Information

Other Title
  • 真性皮膚結核を先行臨床症状とした肺結核症の1例
  • 症例 真性皮膚結核を先行臨床症状とした肺結核症の1例
  • ショウレイ シンセイ ヒフ ケッカク オ センコウ リンショウ ショウジョウ ト シタ ハイケッカクショウ ノ 1レイ

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Abstract

We report a case of pulmonary tuberculosis, which was preceded by skin tuberculosis. 65-year old male was admitted to our hospital complaining of skin eruption which last one year. Skin biopsy proved granuloma with acid-fast bacilli. Mycobacterium tuberculosis was detected by PCR examination using skin biopsy and skin tuberculosis was confirmed. Chest roentogenography demonstrated small nodules with bilateral infiltrates compatible with pulmonary tuberculosis. M. tuberculosis was attained by culture examination using sputa sample. In this case, skin tuberculosis was a first clinical sign to suggest pulmonary tuberculosis. Peripheral blood test showed that he has developed adult Tcell leukemia and this could be an important factor for developing skin tuberculosis. Although skin tuberculosis becomes rare disease, physician should pay attention for this disease as differential diagnosis of lasting eruption.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 77 (8), 618-621, 2003

    The Japanese Association for Infectious Diseases

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