Tuberculous chancre in the partner of an intravenous drug abuser.
We report a 26-year-old housemaid whose partner was an intravenous drug abuser with undiagnosed pulmonary tuberculosis. The patient presented with a painless chin ulcer with an elevated irregular border and a firm, nontender submandibular adenopathy. The lesion had been present for 2 months and did not respond to antibiotic therapy. The tuberculin test was positive, and a biopsy and Löwenstein culture confirmed the diagnosis of cutaneous chancre. The patient was treated with rifampicin, isoniazid and pyrazinamide and, after 6 months of treatment, she developed scrofuloderma which had to be surgically removed. After 1 year of follow-up, the lesions had totally cleared.
Garciandía
C
C
Department of Dermatology, Virgen del Rocio University Hospital, Seville, Spain.
Conejo-Mir
J S
JS
Casals
M
M
Tomas
G
G
Rodriguez-Cañas
T
T
D000328:Adult; D002601:Chancre / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D005148:Facial Dermatoses / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D005260:Female; D006801:Humans; D012747:Sexual Partners; D015819:Substance Abuse, Intravenous; D014382:Tuberculosis, Cutaneous / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D014397:Tuberculosis, Pulmonary