Tuberculous gumma following venepuncture

Authors

  • D. Vidal,

    1. Departments of Dermatology and *Microbiology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona,
      Sant Antoni M
      a Claret 167, 08025 Barcelona, Spain
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  • M. Barnadas,

    1. Departments of Dermatology and *Microbiology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona,
      Sant Antoni M
      a Claret 167, 08025 Barcelona, Spain
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  • M. Pérez,

    1. Departments of Dermatology and *Microbiology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona,
      Sant Antoni M
      a Claret 167, 08025 Barcelona, Spain
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  • P. Coll,

    1. Departments of Dermatology and *Microbiology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona,
      Sant Antoni M
      a Claret 167, 08025 Barcelona, Spain
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  • A. Alomar

    1. Departments of Dermatology and *Microbiology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona,
      Sant Antoni M
      a Claret 167, 08025 Barcelona, Spain
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Dr David Vidal. E-mail: dvidal@hsp.santpau.es

Abstract

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.

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