title: A rare case of primary inoculation tuberculosis seen after varicella.
abstract: Primary inoculation tuberculosis (TB) is a rare form of cutaneous TB resulting from direct introduction of Mycobacterium tuberculosis into the skin or mucosa of a previously uninfected, nonimmune person. We herein report the first case, to our knowledge, of primary inoculation TB to be seen after varicella; this case explains the possible mechanism of varicella-zoster virus-mediated transient cellular immune suppression that predisposed the patient to cutaneous TB. In this case, we believe that varicella-zoster virus (VZV) infection predisposed the patient to primary inoculation TB by leading to direct inoculation of tuberculosis bacilli through vesicles or by suppressing cellular immunity.
authors.affiliation: Division of Pediatric Infectious Diseases, Department of Pediatrics, Gazi University Faculty of Medicine, Ankara, Turkey. meltemtemizhan@gmail.com.
authors.forename: Meltem
authors.initials: M
authors.lastname: Polat
authors.forename: Soner Sertan
authors.initials: SS
authors.lastname: Kara
authors.forename: Anıl
authors.initials: A
authors.lastname: Tapısız
authors.forename: Hasan
authors.initials: H
authors.lastname: Tezer
authors.forename: Betül
authors.initials: B
authors.lastname: Öğüt
authors.forename: Ömer
authors.initials: Ö
authors.lastname: Uluoğlu
mesh_terms: D002644:Chickenpox / Q000150:complications*; D014645:Herpesvirus 3, Human / Q000502:physiology*; D006801:Humans; D007223:Infant; D008297:Male; D009169:Mycobacterium tuberculosis; D014382:Tuberculosis, Cutaneous / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D014611:Vaccination / Q000009:adverse effects*