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Journal of Case Reports
Primary-Inoculation Tuberculosis of Keloid Presenting as Cold Abscess

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Supriya Panda, N K Panigrahi1
From the Department of Microbiology, Maharajah’s Institute of Medical Sciences, Nellimarla. Vizianagaram. Andhra Pradesh and Department of Cardiology1, Heart and Kidney Centre, Apollo Hospital, Visakhapatanam, Andhra Pradesh, India.
Corresponding Author:
Dr. Supriya Panda
Email: drsupriyapanda@gmail.com
Received: 27 MAY 2013 Accepted: 24-JUN-2013 Published Online: 30-JUL-2013
DOI: http://dx.doi.org/10.17659/01.2013.0057
Abstract
Primary-inoculation tuberculosis of the skin resulting from direct inoculation is a rare disease first described by Laennec. Mycobacterium cannot penetrate intact skin and requires a breach in the skin to enter. The disease usually remains localized in those patients with acquired immunity from previous infection with Mycobacterium tuberculosis. The patient will develop a papule or nodule that will eventually ulcerate 2 or 3 weeks after the exposure. Lesion may resolve spontaneously or progress into a lupus vulgaris like picture. Rarely, it may lead to disseminated tuberculosis.We report a case of primary inoculation tuberculosis of keloid presenting as cold abscess.
Keywords : Lupus Vulgaris, Skin, Tuberculosis, Abscess, Keloid.
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Androxal Medication Case Reports Journal

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