title: Primary inoculation tuberculosis of the skin. Prosector's paronychia,.
abstract: Subsequent to an autopsy of a tuberculotic cadaver, a pathology resident presented with a painless paronychia and axillary adenopathy after surgical incision and broad-spectrum antibiotics had failed to improve his condition. Demonstration by culture of Mycobacterium tuberculosis var hominis, positive smears, and findings of acid-fast organisms in a skin biopsy specimen proved the diagnosis of tuberculosis. Conversion of a previously negative skin test permitted the diagnosis of primary inoculation tuberculosis of the skin. The disease responded well to treatment with isoniazid, rifampin, and pyridoxine hydrochloride.
mesh_terms: D000328:Adult; D001344:Autopsy; D006801:Humans; D007396:Internship and Residency; D008297:Male; D009784:Occupational Diseases / Q000635:transmission*; D010304:Paronychia / Q000188:drug therapy / Q000473:pathology / Q000635:transmission*; D012867:Skin / Q000473:pathology; D014382:Tuberculosis, Cutaneous / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology / Q000635:transmission*