A large verrucous plaque on the buttocks: a case report of an atypical presentation of tuberculosis verrucosa cutis

Asmarani, Yulia; Mulia, Rizki Citra; Adriani, Anni

doi:10.11604/pamj.2020.37.131.26150

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Tuberculosis continues to be a huge problem, especially in developing countries. 1,2 About a quarter of the global population has been infected with M. tuberculosis. 3 Although most TBC cases are in the lungs, TBC potentially involves other organs, for example, the skin.…”

Section: Introductionmentioning

confidence: 99%

“…4 Cutaneous tuberculosis is more commonly found in the tropics. 2 Meanwhile, in the last decade, the incidence of cutaneous tuberculosis is decreased in the United States and Northern Europe, in line with the decreased rate of pulmonary tuberculosis after the development of Bacillus Calmette-Guerin vaccination and the effective implementation of anti-tuberculous drugs. 5 The reported prevalence of cutaneous tuberculosis is only 1%-2% of all tuberculosis cases.…”

Section: Introductionmentioning

confidence: 99%

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Tuberculosis verrucosa cutis in a patient with pulmonary tuberculosis: A case report

Maulida,

Earlia,

Vella

et al. 2023

JKKI

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Cutaneous tuberculosis is a skin disorder caused by Mycobacterium tuberculosis, commonly classified according to its spreading route into endogenous, exogenous, and hematogenous, with distinct skin morphology and histopathological findings. Tuberculosis verrucosa cutis is a classification form of cutaneous tuberculosis, a paucibacillary disease caused by exogenous reinfection (inoculation) after sensitization on an immunocompromised individual. Management of cutaneous TB is generally similar to the management of pulmonary TB. In this paper, we presented a case of 62 years old male with a purplish rough patch on the right dorsum of the foot that began 1,5 years. There is a history of trauma and pulmonary TB. On the right dorsum of the foot, we identified a verrucous lesion with a livid base, irregular with the size of 6x3 cm. The diagnosis is established based on clinical features and histopathology evaluation. The patient received treatment with antituberculosis medication, topical mupirocin ointment 2%, and vaseline petroleum jelly. Improvement of the lesions was observed after the patient completed the intensive phase in two months of treatment with antituberculosis drugs.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Tuberculosis verrucosa cutis in a patient with pulmonary tuberculosis: A case report

Maulida,

Earlia,

Vella

et al. 2023

JKKI

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Tuberculosis Verrucous Cutis Mimicking Chromoblastomycosis

Septiafni

Pamudji

Rusmawardiana

et al. 2022

The International Journal of Mycobacteriology

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Tuberculosis verrucous cutis (TBVc) is a skin infection caused by M. tuberculosis, characterized by the presence of a solitaire verrucous plaque but may present as a varies of different clinical morphologies on the finger and or feet. The diagnosis is often late because of its mimicking other diseases with different etiology. Bacterial culture examination is negative because there are few pathogens in the lesion. Meanwhile, other diagnostic methods provide lower sensitivity and specificity which add further diagnostic challenges. We presented one case report of TBVc mimicking chromoblastomycosis. A 26-year-old man complain a multiple papule-plaque verrucose on the dorsum of the right foot and extending to all of fingers for 2 years ago. The first lesion appears as a small papule verrucous then progressively to form plaque with curst yellow-red and central healing. Examination of bacterial culture with Ziehl–Neelsen stain and GeneXpert did not find M. tuberculosis but could not rule out the diagnosis of TBVc. The diagnosis was established based on the correlation of clinical manifestations and dermoscopy with histopathological examination. To date, there is no gold standard for TBVc testing. Correlation analysis of clinical manifestations, dermoscopy, and histopathology can be considered to establish the diagnosis of TBVc, especially if the culture is negative and the limitations of polymerase chain reaction tools.

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A large verrucous plaque on the buttocks: a case report of an atypical presentation of tuberculosis verrucosa cutis

Cited by 2 publications

References 6 publications

Tuberculosis verrucosa cutis in a patient with pulmonary tuberculosis: A case report

Tuberculosis verrucosa cutis in a patient with pulmonary tuberculosis: A case report

Tuberculosis Verrucous Cutis Mimicking Chromoblastomycosis

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