Tuberculous gumma (cutaneous metastatic tuberculous abscess) with underlying lymphoma.
Cutaneous tuberculosis is an infrequent first sign of disseminated tuberculosis. We describe a patient with 2 cutaneous ulcerations that grew Mycobacterium tuberculosis. Despite an initial response to antimycobacterial therapy, the fever relapsed. After several months, biopsy of a single cervical lymph node showed a T cell-rich B cell lymphoma. Our patient had metastatic tuberculous abscesses (tuberculous gummas), which are secondary to disseminated tuberculosis, and an underlying occult lymphoma, both believed to be sequentially presenting as a fever of unknown origin.
Kalaria
V G
VG
Department of Infectious Diseases, New Jersey Medical School, Newark 07103-2714, USA.
Kapila
R
R
Schwartz
R A
RA
D000038:Abscess / Q000150:complications* / Q000382:microbiology; D000368:Aged; D005335:Fever of Unknown Origin / Q000209:etiology; D006801:Humans; D016393:Lymphoma, B-Cell / Q000150:complications* / Q000175:diagnosis; D008297:Male; D014382:Tuberculosis, Cutaneous / Q000150:complications* / Q000175:diagnosis