Necrotizing fasciitis--an unusual presentation of miliary mycobacterium tuberculosis.
We report an immunocompromised patient who presented with necrotizing fasciitis as the initial presentation of miliary tuberculosis. The diagnosis of miliary tuberculosis was delayed resulting in prolonged morbidity and hospital stay. The lesson from this report is that tuberculosis should be recognised as an uncommon cause of necrotizing fasciitis in an immunocompromised patient, especially if the response to prompt and standard initial treatment is unsatisfactory.
Stebbings
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Division of Respiratory Medicine, National Unversity Hospital, Singapore.
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Tan
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D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use; D019115:Fasciitis, Necrotizing / Q000209:etiology* / Q000628:therapy; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D014391:Tuberculosis, Miliary / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D000995:Antitubercular Agents