Cutaneous tuberculosis revealing multifocal tuberculosis in immunocompetent patients

Abstract

Multifocal tuberculosis (TB) is rare. It occurs especially in immunocompromised patients. Association with skin involvement is rarer, and few cases are reported in the literature. The present study reports 7 cases of multifocal TB with cutaneous localization in immunocompetent patients. Cutaneous forms of TB included in this series are: gummas, scrofuloderma, vasculitis TB and lupus TB. The patients had at least two extra skin locations, namely: osteoarticular, lung, pleural, scrotal, muscular, digestive, laryngeal, nodal and splenic locations. These patients had no context of immunosuppression which is uncommon, but should be kept in mind, especially in endemic countries.

Disseminated ulcers with sporotrichoid distribution

“…the presence of two or more lesions in extrapulmonary sites, with or without pulmonary involvement), which is very rare in an immunocompetent patient. In particular, the concomitant involvement of skin and skeletal lesions is very unusual, as reported in the series published by Amraoui et al in 2015 [12,13].…”

“…In particular, the concomitant involvement of skin and skeletal lesions is very unusual, as reported in the series published by Amraoui et al in 2015 [12,13]. the presence of two or more lesions in extrapulmonary sites, with or without pulmonary involvement), which is very rare in an immunocompetent patient.…”

Persistent Cutaneous Metastatic Tubercular Abscesses Revealing Multifocal Tuberculosis in an Immunocompetent Patient

“…Cutaneous tuberculosis is rare, even more in an immunocompetent patient, and only a few cases have been described [7,8]. Metastatic tubercular abscesses are a rare and clinically misleading form of cutaneous tuberculosis.…”

Disseminierte Ulzera mit sporotrichoider Ausbreitung

“…Besonders das gleichzeitige Auftreten von Haut-und skelettalen Läsionen ist sehr ungewöhnlich, wie Amraoui et al in einer im Jahr 2015 publizierten Fallserie berichten [12,13]. Besonders das gleichzeitige Auftreten von Haut-und skelettalen Läsionen ist sehr ungewöhnlich, wie Amraoui et al in einer im Jahr 2015 publizierten Fallserie berichten [12,13].…”

“…Bei dem hier vorgestellten Fall handelt es sich um eine bei immunkompetenten Patienten sehr selten auftretende multifokale systemische Tuberkulose (Vorhandensein von zwei oder mehr extrapulmonalen Läsionen mit oder ohne Lungenbeteiligung). Besonders das gleichzeitige Auftreten von Haut-und skelettalen Läsionen ist sehr ungewöhnlich, wie Amraoui et al in einer im Jahr 2015 publizierten Fallserie berichten [12,13].…”