Management of Tuberculous Cutaneous Fistula.
Journal
Case reports in surgery
ISSN: 2090-6900
Titre abrégé: Case Rep Surg
Pays: United States
ID NLM: 101580191
Informations de publication
Date de publication:
2020
2020
Historique:
received:
14
10
2019
accepted:
25
01
2020
entrez:
26
2
2020
pubmed:
26
2
2020
medline:
26
2
2020
Statut:
epublish
Résumé
Tuberculosis is an endemic emergency that is prevalent in developing countries, particularly in sub-Saharan Black Africa, including Congo-Brazzaville. In addition to the pulmonary, ganglionic, and bone forms, there are other poorly documented locations. In the Congo, among these is cutaneous tuberculosis which is exceptional. A 9-year-old boy and two adult patients had persistent lesions of the left hip and thigh wounds, chest wall, and hypogastric wound with no healing for more than four months, respectively. Among these patients, one case of tuberculous contact was noted. Histopathological examination revealed a Koester follicle, suggesting a tuberculous skin fistula. A fistulectomy was performed, coupled with a quadruple antituberculous therapy combining rifampicin, isoniazid, ethambutol, and pyrazinamide for two months, relayed by a dual therapy consisting of isoniazid and ethambutol for 6 to 8 months. The evolution was favorable in all cases with healing of the lesions after 3 to 6 weeks. The existence of inexhaustible fistulas and the absence of scarring of a wound should make one suspect, among other things, cutaneous tuberculosis. The product of fistulectomy makes it possible to establish the histological diagnosis of cutaneous tuberculosis.
Identifiants
pubmed: 32095308
doi: 10.1155/2020/7840963
pmc: PMC7035543
doi:
Types de publication
Case Reports
Langues
eng
Pagination
7840963Informations de copyright
Copyright © 2020 Massamba Miabaou Didace et al.
Déclaration de conflit d'intérêts
The authors have no conflict of interest to declare.
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