title: [Cutaneous manifestation of tuberculosis causing impaired healing after minor injury].
abstract: METHODS
  After a trivial injury, a male patient from India presented with a non-healing minor injury. A necrotic lesion at the right medial ankle was evident.
  
  
  RESULTS
  Mycobacterium tuberculosis complex was detected from tissue material both in cultures and by molecular markers. Sonography of the abdomen indicated a retroperitoneal abcess formation.
  
  
  METHODS
  Cutaneous tuberculosis with involvement of the spine and an abscess of the psoas muscle was diagnosed. After initiation of antituberculotic treatment elevation of liver enzymes was noted. The initially observed skin lesion in the area of the right ankle healed quickly; however, the abscess of the psoas muscle did not. The abscess was drained by puncture. During follow up no fistula formation was observed.
  
  
  CONCLUSIONS
  Tuberculosis should be considered as differential diagnosis in cases of poorly healing skin lesions caused by trauma, especially in patients from tuberculosis high incidence regions.
authors.affiliation: Zentrum für Infektionsmedizin und Krankenhaushygiene, Universitätsklinikum Jena.
authors.forename: B T
authors.initials: BT
authors.lastname: Schleenvoigt
authors.forename: P M
authors.initials: PM
authors.lastname: Keller
authors.forename: M
authors.initials: M
authors.lastname: Lehmann
authors.forename: F
authors.initials: F
authors.lastname: Gras
authors.forename: S
authors.initials: S
authors.lastname: Hagel
authors.forename: A
authors.initials: A
authors.lastname: Stallmach
authors.forename: M W
authors.initials: MW
authors.lastname: Pletz
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004322:Drainage / Q000379:methods; D006801:Humans; D008297:Male; D012867:Skin / Q000187:drug effects / Q000293:injuries*; D016896:Treatment Outcome; D014382:Tuberculosis, Cutaneous / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D014945:Wound Healing; D014947:Wounds and Injuries / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*
chemical_list: D000995:Antitubercular Agents