Tuberculous gumma following venepuncture.
An 88-year-old man with a past medical history of pulmonary tuberculosis presented with a 2-year history of an indolent enlarging ulcerated nodule on his left wrist following a venous blood test. Skin biopsy of the ulcer showed granulomas, Ziehl-Neelsen stain was negative, and cultures grew Mycobacterium tuberculosis. Underlying bone and joint disease was excluded, and the lesion healed completely with 6 months of standard antituberculous treatment. We review the literature on tuberculous gumma following an injury.
Department of Dermatology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Sant Antoni M Claret 167, 08025 Barcelona, Spain.
D
D
Vidal
M
M
Barnadas
M
M
Pérez
P
P
Coll
A
A
Alomar
D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D018962:Phlebotomy / Q000009:adverse effects*; D014382:Tuberculosis, Cutaneous / Q000209:etiology* / Q000473:pathology; D014397:Tuberculosis, Pulmonary / Q000150:complications; D014953:Wrist