Cutaneous tuberculosis: a case report

Authors

  • Maria Gomes Médica Interna de Medicina Geral e Familiar. USF Professor Guilherme Jordão, ULS Santa Maria. Lisboa, Portugal. https://orcid.org/0000-0002-0171-0114
  • Margarida Rocha Médica de Interna de Medicina Geral e Familiar. UCSP Sete Rios, ULS Santa Maria. Lisboa, Portugal.
  • Ana Rita Molinar Médica Assistente Graduada em Medicina Geral e Familiar. USF Professor Guilherme Jordão, ULS Santa Maria. Lisboa, Portugal.
  • Inês Marques Médica Assistente Graduada em Medicina Geral e Familiar. USF Professor Guilherme Jordão, ULS Santa Maria. Lisboa, Portugal.

DOI:

https://doi.org/10.32385/rpmgf.v40i6.13706

Keywords:

Cutaneous tuberculosis, Furuncles, Necrotizing granulomatous dermatosis, Tuberculosis

Abstract

Introduction: Cutaneous tuberculosis results from a chronic infection by Mycobacterium tuberculosis. Its clinical presentation depends on various factors, such as the location of the infection and the host’s immunity state.

Case description: We describe the case of a 58-year-old woman, born in Angola, who came to a primary care consultation with oedema, heat, and redness of the first finger of the hand, which was assumed to be a paronychia. Subsequently, the complaints continued with the intermittent appearance of furuncles, progressively growing in number. The patient was referred to dermatology, where a biopsy was made, which revealed a necrotizing granulomatous dermatosis. Considering this, an IGRA was performed, with a positive result.

Comment: The diagnosis of cutaneous tuberculosis requires a high level of suspicion by the physician. In this context, it is important to draw attention to this clinical form of tuberculosis infection, so that these cases do not go undiagnosed, untreated, and unnotified.

Downloads

Download data is not yet available.

References

1. Hill MK, Sanders CV. Cutaneous tuberculosis. Microbiol Spectr. 2017;5(1).

2. Direção-Geral da Saúde. Relatório de vigilância e monitorização da tuberculose em Portugal: dados definitivos 2020. Lisboa: DGS; 2021.

3. Azendour H, Meziane M, Znati K, Benzekri L, Senouci K. A polymorphous cutaneous tuberculosis. Int J Mycobacteriol. 2021;10(1):85-8.

4. Brito AC, Oliveira CM, Unger DA, Bittencourt MJ. Cutaneous tuberculosis: epidemiological, clinical, diagnostic and therapeutic update. An Bras Dermatol. 2022;97(2):129-44.

Published

2025-01-07

How to Cite

Cutaneous tuberculosis: a case report. (2025). Portuguese Journal of Family Medicine and General Practice, 40(6), 602-4. https://doi.org/10.32385/rpmgf.v40i6.13706

Most read articles by the same author(s)