During the past twelve years at the Cincinnati General Hospital, four cases of proved and three of probable traumatic inoculation tuberculosis of the skin with metastasis to regional lymph nodes have been seen. Instances of this condition constitute a very definite but quite unfamiliar group, and for this reason our cases are being reported. The outstanding adenopathy in each case has usually overshadowed the primary focus. With a more accurate knowledge of the pathology and clinical course a more frequent identification of new cases should result.
Very little has been written about healed traumatic tuberculous lesions of the skin with regional lymphadenopathy. Tscherning (quoted by Stokes1) in 1888 reported the case of a servant of a tuberculous patient who injured a finger with a fragment of a sputum cup. Subsequently, lymphatic involvement occurred. The finger was amputated and the involved glands were excised, following which the patient recovered. Klebs,
CARTER BN, SMITH J. TUBERCULOUS LYMPHADENITISSECONDARY TO INCONSPICUOUS HEALED TRAUMATIC CUTANEOUS TUBERCULOUS LESIONS. JAMA. 1935;105(23):1839–1842. doi:10.1001/jama.1935.02760490023006
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