Clinical Drug-Resistant Cutaneous Tuberculosis Presenting as Lupus Vulgaris Ulcerative Type in an Indian Female With Poncet’s Disease: A First-of-Its-Type Report

Abstract

Tuberculosis of the skin is rare and a difficult diagnosis. Moreover, recurrent episodes of mycobacterial infection in the skin with Poncet’s disease are rarely reported in females. Herein, the first of its type case of clinical drug-resistant tuberculosis of the skin in an Indian female is presented. She had a history of cutaneous tuberculosis five times in the past. At the sixth time, she came with complaints of an ulcerative lesion over her right forearm and cubital fossa with left knee swelling. The paucibacillary nature of the infection made the diagnosis exceedingly challenging. However, a detailed clinical examination with a suspicion of drug resistance resulted in management with significant clinical improvement.

Pulmonary Tuberculosis With Left Pleural Effusion and Lichen Scrofulosorum: A First-of-Its-Type Report

“…Cutaneous tuberculosis, in particular, is rare, with approximately 5.9 cases per 1,000 individuals and a prevalence of 0.25-0.6%, according to Indian studies. It is caused by Mycobacterium bovis, Mycobacterium tuberculosis complex, and occasionally, Bacillus Calmette-Guérin (BCG) vaccination [3].…”