Tuberculosis fungosa serpiginosa

Last Updated: 2023-07-07

Author(s): Anzengruber F., Navarini A.

ICD11: -

Rare cutaneous form of tuberculosis with "fungal" skin lesions.

  • Very rare cutaneous tuberculosis
  • V.a. in the elderly

Both by exogenous and endogenous inoculation.

  • Localisation
    • Forearms and back of the hand
  • Papillomatous, fistulous, perforating growths through which a turbid or purulent secretion may be discharged

  • Travel history
  • clinic
  • 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.

  1. Handog, E. (2016). Cutaneous manifestations of tuberculosis. Retrieved 24 May 2016, from
  2. Haas, W. (2016). RKI - RKI-Ratgeber für Ärzte - Tuberkulose. Retrieved 24 May 2016, from