Tuberculosis fungosa serpiginosa
Last Updated: 2023-07-07
Author(s): Anzengruber F., Navarini A.
Rare cutaneous form of tuberculosis with "fungal" skin lesions.
- Very rare cutaneous tuberculosis
- V.a. in the elderly
Both by exogenous and endogenous inoculation.
- Forearms and back of the hand
- Papillomatous, fistulous, perforating growths through which a turbid or purulent secretion may be discharged
- Travel history
- Tuberculin test is negative
- Quantiferone test
- Microscopic detection of the pathogen is possible, however
- Biopsy (both dermatopathological and microbiological examination)
- Thoracic X-ray or CT chest
- Sonography of the abdomen and kidneys
- In the morning (fasting up to 4h) on 3 consecutive days, sputum must be collected
- Pass urine in the morning on 3 consecutive days (fluid restriction the evening before!)
- Bronchoalveolar lavage (BAL)
Forearms and back of the hands.
Tuberculoid granulomas with inflammatory infiltrate.
- Handog, E. (2016). Cutaneous manifestations of tuberculosis. Uptodate.com. Retrieved 24 May 2016, from http://www.uptodate.com/contents/cutaneous-manifestations-of-tuberculosis?source=search_result&search=tuberkulosis+skin&selectedTitle=1~16
- Haas, W. (2016). RKI - RKI-Ratgeber für Ärzte - Tuberkulose. Rki.de. Retrieved 24 May 2016, from https://www.rki.de/DE/Content/Infekt/EpidBull/Merkblaetter/Ratgeber_Tuberkulose.html#doc2374486bodyText3