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April 1978

Primary Inoculation Tuberculosis of the Skin: Prosector's Paronychia

Author Affiliations


From the Dermatology Service, Department of Medicine, Letterman Army Medical Center, Presidio of San Francisco.

Arch Dermatol. 1978;114(4):567-569. doi:10.1001/archderm.1978.01640160045013

• Subsequent to an autopsy of a tuberculotic cadaver, a pathology resident presented with a painless paronychia and axillary adenopathy after surgical incision and broad-spectrum antibiotics had failed to improve his condition. Demonstration by culture of Mycobacterium tuberculosis var hominis, positive smears, and findings of acid-fast organisms in a skin biopsy specimen proved the diagnosis of tuberculosis. Conversion of a previously negative skin test permitted the diagnosis of primary inoculation tuberculosis of the skin.

The disease responded well to treatment with isoniazid, rifampin, and pyridoxine hydrochloride.

(Arch Dermatol 114:567-569, 1978)

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