We reported herein a rare case of a 65-year-old female who had intestinal tuberculosis of about 2 months' duration, with a little late development of metastatic tuberculosis abscess of the skin. The lesions were egg to walnut-sized absesses or
nodules
occuring on the back, right flank and lower abdomen with no pain or mild tenderness. Physical examination was unremarkable on clinical, histopathologic features, and positive results for Mycobacterium tuberculosis in smears and cultures in the
pus
discharge, as well as polymerase chain reaction method on the nodular lesion. A barium enema showed the findings of intestinal tuberculosis, with postive culture in the stool.
A combined treatment was instituted. During the initial 4 monthes, cutaneous lesions did not respond and in some cases worsened with the multi-drug of isoniazid, rifampin, pyrazinamide and streptomycin, all of which were surgically excised.
Thereafter,
the drugs of isoniazid and rifampin the sustemic symptomatology. There was no relapse at follow-up after 6 months.
(Kor J Dermatol 1995;33(3) : 510~515)
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