Tuberculosis is primarily transmitted from person to person via the respiratory route. We describe five cases of patients who developed tuberculosis at the site of a skin injury: three after being treated repeatedly with local corticosteroids via intramuscular injections, and two who cut themselves accidentally with a knife. All cultures yielded normal-sensitive Mycobacterium tuberculosis, and all patients responded well to anti-tuberculosis treatment. These unusual manifestations of non-respiratory tuberculosis may support the assumption that persistent, painful, reddish and/or fistulous areas of the skin might also indicate an infection caused by M. tuberculosis, via either reactivation of pulmonary tuberculosis or primary infection with M. tuberculosis by cutaneous transmission.
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primary cutaneous transmission;
Document Type: Short Communication
Department of Internal Medicine, Cardiology and Pulmonology, St. Lucas Hospital, Winschoten, The Netherlands
Department of Tuberculosis, Beatrixoord Haren, The Netherlands
Publication date: 2000-12-01
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