Cutaneous tuberculosis in an immunocompromised host: an unusual clinical presentation.
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A 28-year-old lady suffering from systemic lupus erythomatosus (SLE) with diffuse proliferative glomerulonephritis (DPGN) and who was on oral cyclophosphamide and prednisolone presented with left lower limb 'cellulitis'. The 'cellulitis' of the left lower limb failed to respond to usual antibiotics which prompted evaluation of the clinical diagnosis. The diagnosis is made based on the presence of granulomas, multinucleated giant cells and acid fast bacilli on the skin biopsy.
An unusual case of multiple lesions of tuberculosis verrucosa cutis and colliquative forms is reported. We emphasize a rapid response to conventional therapy.
73-year-old woman with lesions in the right lung, fluid in the right pleural cavity, magnification of the left supraclavicular lymphatic nodes and ulcerations on the skin of the neck and chest is presented. Culture of 1 pus specimen received from the one of the skin ulcerations reveals the presence of Mycobacterium tuberculosis. Antituberculotic drugs (INH, RMP, EMB) were administered. Complete remission of the skin ulcerations and pleural exudate after 8 weeks and partial remission of the lesions in the lung and supraclavicular lymphatic nodes after 12 weeks of treatment was observed.
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