Delayed diagnosis and comprehensive treatment of cutaneous tuberculosis:A case report  

作　　者：Lu-Jue Gao Zi-Hui Huang Quan-Yong Jin Guo-Ying Zhang Min-Xing Gao Jia-Yan Qian Si-Xun Zhu Yang Yu 

机构地区：[1]Department of Extrapulmonary Tuberculosis,Nanjing Integrated Traditional Chinese and Western Medicine Hospital,Nanjing 210014,Jiangsu Province,China [2]Department of Laboratory,Nanjing Integrated Traditional Chinese and Western Medicine Hospital,Nanjing 210014,Jiangsu Province,China

出　　处：《World Journal of Clinical Cases》2021年第16期4007-4015,共9页世界临床病例杂志

基　　金：The Key Science and Technology Project of Nanjing Health and Family Planning Commission,No.ZKX18042;The Youth Talent Project of Nanjing Health and Fitness Commission,No.QRX17030;and The Key Science and Technology Project of National Health Commission,No.ZKX18048.

摘　　要：BACKGROUND Tuberculosis(TB)is a widespread infectious disease,with an incidence that is increasing worldwide.Cutaneous TB(CTB)occurs rarely,accounting for less than 1%of all TB cases.Due to the clinical presentation and diagnostic difficulties,CTB is often clinically neglected and misdiagnosed.CASE SUMMARY A 32-year-old man underwent several debridement surgeries and skin flap transplantation after trauma.The wound remained unhealed,accompanied by sinus formation.According to empirical judgment,T-cell spot of TB test,and bacterial culture of pyogenic fluids,he was diagnosed with CTB due to infection with exogenous Mycobacterium tuberculosis.A comprehensive anti-TB regimen that included isoniazid,rifampicin,ethambutol,and pyrazinamide was applied.The sinus was filled with a hydrophilic fiber-containing silver dressing,and woundprotecting sponges were applied to part of the wound.The wound healed after 40 d.No ulceration was found within 2 mo after discharge;further follow-up will be conducted.CONCLUSION A non-healing wound may be caused by TB infection.Comprehensive treatment of CTB is effective.

关 键 词：Cutaneous tuberculosis Delayed diagnosis Dressing change ANTITUBERCULOSIS Case report 

分 类 号：R529.4[医药卫生—内科学]