Primary Tuberculosis of the Cheek skin: Difficulties in Diagnostic Procedure
Journal Title: Macedonian Journal of Medical Sciences (MJMS) - Year 2009, Vol 2, Issue 3
Abstract
Background. Tuberculosis of the skin is rare disease in Europe. Diagnostic procedure is long and difficult. Aim. Aim of our manuscript is to point out that in differential diagnosis of chronic skin diseases, it is necessary to take tuberculosis into consideration as well. We represented rare case of cutaneous tuberculosis that required surgical procedure. Case report. A 46-year-old female, psychiatric patient, was referred to our clinic on surgical treatment of buccal abscess on the cheek. We extracted the teeth that were considered to be cause of inflammation, and the anthibiotic therapy was prescribed. Patient was seen after nearly two months. At the place of previous skin incision there was a visible fissure with surrounding erythematic and desquamation, and the fistula on the buccal mucous membrane. The findings of probatory biopsy showed elements of granulomatous inflammation. The first findings for Mycobacterium tuberculosis were negative. However, after five weeks the cultivation test was positive. The focus of infection was not found anywhere else. Conclusion. Despite of successful prevention programs over the world, tuberculosis is still public health problem in Balkan region. Cutanous tuberculosis, although very rare, is also present in this region. Early diagnose and patient’s compliance is very important for further treatment.
Authors and Affiliations
Predrag Knezevic, MD, PhD| Clinical Hospital Dubrava, Zagreb, Croatia, Bojana Knezevic, MD| 2Croatian Institute for Health Protection and Safety at Work, Zagreb, Croatia, Mihael Skerlev, MD, PhD| Clinical Hospital Center Zagreb, Zagreb, Croatia, Vedran Uglesic, MD, PhD| Clinical Hospital Dubrava, Zagreb, Croatia, Vera Katalinic Jankovic, MD| Croatian National Institute of Public Health, Zagreb, Croatia
Keywords
Related Articles
- EP ID EP8702
- DOI 10.3889/MJMS.1857-5773.2009.0065
- Views 357
- Downloads 20
Curcuma Longa: Staining Effect on Histomorphology of the Testis
Background: The use of non-allergic, non-toxic and eco-friendly natural dyes has become a matter of significant importance due to the increased environmental awareness in order to avoid some hazardous synthetic dyes....
A Comparison of Wilson Sum Score and Combination Mallampati, Tiromental and Sternomental Distances for Predicting Difficult Intubation
Aim. Our goal is to find the best predicting test for difficult intubation. Material and method. The present study is a double-blind, prospective one that has been made during the period of 2006-2008. It was perfomed i...
Clinico-Pathological Presentation of Colorectal Cancer Seen in Lagos State University Teaching Hospital
Aim: The objective is to describe the age and gender distribution, pattern of presentation, sites of colorectal cancers and the histological types of colorectal cancers seen over a 5 year period in a tertiary health in...
Effects of the Pharmacological Pre-treatment and Global Brain Ischemia on the Body Temperature in Experimental Rats
The aim of this study is to examine the influence of the pharmacologic pre-treatment and global brain ischemia on the one hand, and on the other hand, the influence of anaesthesia on the body temperature in experimenta...
Organizational Circumstances for the Occurrence of Mobbing in Health Care Organizations
The health care sector, an important segment of society, is perhaps one of the most vulnerable sectors to the creation of conditions that lead to mobbing. Mobbing is an expression of negative energy that results from d...