[Skip to Content]
[Skip to Content Landing]
Case Reports
September 1941

PRIMARY INOCULATION TUBERCULOSIS OF THE SKIN: ITS OCCURRENCE IN A FOUR YEAR OLD CHILD

Author Affiliations

WASHINGTON, D. C.
From the Division of Pediatrics, Howard University College of Medicine, and the Pediatric Service of Freedmen's Hospital.

Am J Dis Child. 1941;62(3):596-605. doi:10.1001/archpedi.1941.02000150120015
Abstract

Little has appeared in the pediatric literature on the subject of traumatic inoculation tuberculosis of the skin with metastasis to the regional lymph nodes. Holt and McIntosh1 stated that the disorder is comparatively rare and that the primary lesion, in particular, is likely to pass unrecognized because tuberculosis is not considered. A better acquaintance with the clinical manifestations of this lesion would probably result in its being identified more frequently by pediatricians and surgeons.

Tscherning2 in 1888 reported the case of a servant who wounded a finger with a fragment of sputum cup while attending a tuberculous patient. Tuberculous lymphatic involvement followed, and it was necessary to amputate the finger and to remove the affected glands before recovery ensued.

In 1909 Escherich3 reported the case of a child with inoculation tuberculosis of the cheek. Klebs4 mentioned in his book the occurrence of extensive tuberculosis of the

×