Tuberculous gumma (cutaneous metastatic tuberculous abscess) with underlying lymphoma

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Abstract

Cutaneous tuberculosis is an infrequent first sign of disseminated tuberculosis. We describe a patient with 2 cutaneous ulcerations that grew Mycobacterium tuberculosis. Despite an initial response to antimycobacterial therapy, the fever relapsed. After several months, biopsy of a single cervical lymph node showed a T cell-rich B cell lymphoma. Our patient had metastatic tuberculous abscesses (tuberculous gummas), which are secondary to disseminated tuberculosis, and an underlying occult lymphoma, both believed to be sequentially presenting as a fever of unknown origin.

Original languageEnglish (US)
Pages (from-to)277-279
Number of pages3
JournalCutis
Volume66
Issue number4
StatePublished - Oct 2000

All Science Journal Classification (ASJC) codes

  • Dermatology

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