Primary multi-drug resistant tuberculous gumma.
A 28-year old lady presented with three discrete gummatous lesions on the anterior abdominal wall, one at the site of a previous laparoscopic scar. Skin biopsy showed epitheloid cell granulomas and a pus culture and sensitivity (for AFB) performed, showed growth of M. tuberculosis. The culture-isolate was resistant to all the essential anti-TB drugs. The patient was put on second line anti-TB chemotherapy and the gummas resolved.
Department of Tuberculosis and Chest Diseases, Rajan Babu T.B. Hospital, New Delhi.
N
N
Sharma
P
P
Kumar
S
S
Mantoo
S
S
Patnaik
D000328:Adult; D000995:Antitubercular Agents / Q000494:pharmacology / Q000627:therapeutic use; D024901:Drug Resistance, Multiple, Bacterial; D005260:Female; D006801:Humans; D009169:Mycobacterium tuberculosis / Q000187:drug effects / Q000502:physiology*; D014382:Tuberculosis, Cutaneous / Q000188:drug therapy* / Q000382:microbiology*
D000995:Antitubercular Agents