title: Nodular skin tuberculosis with lymphatic spread--a case report.
abstract: An unusual case of tuberculosis paronychia with skin infection of the big toe was recently seen in a patient returning from Kalimantan. This was complicated by inguinal lymphadenitis and tuberculosis abscess formation. The diagnosis was made on culture of the pus from the abscess and upon biopsy and histological examination of the skin lesion from the toe. The patient responded to surgical treatment and chemotherapy with ethambutol, rifampicin and isoniazid.
authors.affiliation: Accident and Emergency Department, Toa Payoh Hospital, Singapore.
authors.forename: S H
authors.initials: SH
authors.lastname: Goh
authors.forename: T
authors.initials: T
authors.lastname: Ravintharan
authors.forename: C S
authors.initials: CS
authors.lastname: Sim
authors.forename: H C
authors.initials: HC
authors.lastname: Chng
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D014382:Tuberculosis, Cutaneous / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
chemical_list: D000995:Antitubercular Agents