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Delayed Diagnosis of Scrofuloderma Misdiagnosed as a Bacterial Abscess
An 82-year-old woman presented with a four-month history of an ulcerative plaque overlying her left neck. This lesion had developed as a subcutaneous nodule, gradually increased in size, and evolved into ulcers. Before visiting our Dermatology clinic, the patient had been diagnosed as having a bacte...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Dermatological Association; The Korean Society for Investigative Dermatology
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3283855/ https://www.ncbi.nlm.nih.gov/pubmed/22363159 http://dx.doi.org/10.5021/ad.2012.24.1.70 |
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author | Kim, Gun-Wook Park, Hyun-Je Kim, Hoon-Soo Kim, Su-Han Ko, Hyun-Chang Kim, Byung-Soo Kim, Moon-Bum Sim, Eun-Kyung |
author_facet | Kim, Gun-Wook Park, Hyun-Je Kim, Hoon-Soo Kim, Su-Han Ko, Hyun-Chang Kim, Byung-Soo Kim, Moon-Bum Sim, Eun-Kyung |
author_sort | Kim, Gun-Wook |
collection | PubMed |
description | An 82-year-old woman presented with a four-month history of an ulcerative plaque overlying her left neck. This lesion had developed as a subcutaneous nodule, gradually increased in size, and evolved into ulcers. Before visiting our Dermatology clinic, the patient had been diagnosed as having a bacterial abscess, but treatments with antibiotics were unsuccessful. The presence of a purulent discharge and prominent ulceration caused further confusion as bacterial abscess, and radiologic evaluation on computed tomography also led to the possibilities of secondary lesions from an abscess or malignancy. However, the characteristic appearance of her lesion allowed us to discern cutaneous tuberculosis, especially scrofuloderma. Based on clinical examinations, staining for acid-fast bacilli, and positive findings of polymerase chain reaction, a quick diagnosis of scrofuloderma was made. After that, she was treated successfully with anti-tuberculosis therapy and the ulcer healed. Our case highlights the problem of delayed diagnosis of scrofuloderma presenting as a bacterial abscess. In conclusion, having a high index of suspicion is needed to diagnose cutaneous tuberculosis correctly. |
format | Online Article Text |
id | pubmed-3283855 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Korean Dermatological Association; The Korean Society for Investigative Dermatology |
record_format | MEDLINE/PubMed |
spelling | pubmed-32838552012-02-23 Delayed Diagnosis of Scrofuloderma Misdiagnosed as a Bacterial Abscess Kim, Gun-Wook Park, Hyun-Je Kim, Hoon-Soo Kim, Su-Han Ko, Hyun-Chang Kim, Byung-Soo Kim, Moon-Bum Sim, Eun-Kyung Ann Dermatol Case Report An 82-year-old woman presented with a four-month history of an ulcerative plaque overlying her left neck. This lesion had developed as a subcutaneous nodule, gradually increased in size, and evolved into ulcers. Before visiting our Dermatology clinic, the patient had been diagnosed as having a bacterial abscess, but treatments with antibiotics were unsuccessful. The presence of a purulent discharge and prominent ulceration caused further confusion as bacterial abscess, and radiologic evaluation on computed tomography also led to the possibilities of secondary lesions from an abscess or malignancy. However, the characteristic appearance of her lesion allowed us to discern cutaneous tuberculosis, especially scrofuloderma. Based on clinical examinations, staining for acid-fast bacilli, and positive findings of polymerase chain reaction, a quick diagnosis of scrofuloderma was made. After that, she was treated successfully with anti-tuberculosis therapy and the ulcer healed. Our case highlights the problem of delayed diagnosis of scrofuloderma presenting as a bacterial abscess. In conclusion, having a high index of suspicion is needed to diagnose cutaneous tuberculosis correctly. Korean Dermatological Association; The Korean Society for Investigative Dermatology 2012-02 2012-02-02 /pmc/articles/PMC3283855/ /pubmed/22363159 http://dx.doi.org/10.5021/ad.2012.24.1.70 Text en Copyright © 2012 Korean Dermatological Association; The Korean Society for Investigative Dermatology http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kim, Gun-Wook Park, Hyun-Je Kim, Hoon-Soo Kim, Su-Han Ko, Hyun-Chang Kim, Byung-Soo Kim, Moon-Bum Sim, Eun-Kyung Delayed Diagnosis of Scrofuloderma Misdiagnosed as a Bacterial Abscess |
title | Delayed Diagnosis of Scrofuloderma Misdiagnosed as a Bacterial Abscess |
title_full | Delayed Diagnosis of Scrofuloderma Misdiagnosed as a Bacterial Abscess |
title_fullStr | Delayed Diagnosis of Scrofuloderma Misdiagnosed as a Bacterial Abscess |
title_full_unstemmed | Delayed Diagnosis of Scrofuloderma Misdiagnosed as a Bacterial Abscess |
title_short | Delayed Diagnosis of Scrofuloderma Misdiagnosed as a Bacterial Abscess |
title_sort | delayed diagnosis of scrofuloderma misdiagnosed as a bacterial abscess |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3283855/ https://www.ncbi.nlm.nih.gov/pubmed/22363159 http://dx.doi.org/10.5021/ad.2012.24.1.70 |
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