Delayed diagnosis and comprehensive treatment of cutaneous tuberculosis:A case report
作者机构：Department of Extrapulmonary TuberculosisNanjing Integrated Traditional Chinese and Western Medicine HospitalNanjing 210014Jiangsu ProvinceChina Department of LaboratoryNanjing Integrated Traditional Chinese and Western Medicine HospitalNanjing 210014Jiangsu ProvinceChina
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2021年第9卷第16期
页 面：4007-4015页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
基 金：The Key Science and Technology Project of Nanjing Health and Family Planning Commission,No.ZKX18042 The Youth Talent Project of Nanjing Health and Fitness Commission,No.QRX17030 and The Key Science and Technology Project of National Health Commission,No.ZKX18048
主 题：Cutaneous tuberculosis Delayed diagnosis Dressing change Antituberculosis Case report
摘 要：BACKGROUND Tuberculosis(TB)is a widespread infectious disease,with an incidence that is increasing *** TB(CTB)occurs rarely,accounting for less than 1%of all TB *** to the clinical presentation and diagnostic difficulties,CTB is often clinically neglected and *** SUMMARY A 32-year-old man underwent several debridement surgeries and skin flap transplantation after *** wound remained unhealed,accompanied by sinus *** to empirical judgment,T-cell spot of TB test,and bacterial culture of pyogenic fluids,he was diagnosed with CTB due to infection with exogenous Mycobacterium tuberculosis.A comprehensive anti-TB regimen that included isoniazid,rifampicin,ethambutol,and pyrazinamide was *** sinus was filled with a hydrophilic fiber-containing silver dressing,and woundprotecting sponges were applied to part of the *** wound healed after 40 *** ulceration was found within 2 mo after discharge;further follow-up will be *** A non-healing wound may be caused by TB *** treatment of CTB is effective.
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