Tuberculous Cellulitis in a Patient with Chronic Kidney Disease and Polymyalgia Rheumatica

被引：3

作者：

Daido-Horiuchi, Yuka ^{[1
]}

Kikuchi, Yuichi ^{[1
]}

Kobayashi, Shinichi ^{[1
]}

Fujii, Tatsuya

Oshima, Satoshi ^{[1
]}

Kondo, Toshiro ^{[1
]}

机构：

[1] Mishuku Hosp, Dept Internal Med, Tokyo, Japan

来源：

INTERNAL MEDICINE | 2012年 / 51卷 / 22期

关键词：

cutaneous tuberculosis; cellulitis; chronic kidney disease; polymyalgia rheumatica; MILIARY TUBERCULOSIS; DIALYSIS PATIENTS; MANIFESTATION; DIAGNOSIS; AIDS;

D O I：

10.2169/internalmedicine.51.8494

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

An 89-year-old man with advanced renal failure, polymyalgia rheumatica and a past history of tuberculosis was admitted with a high fever. Erythema and swelling appeared in the femoral region. Since the cellulitis failed to respond to antibiotic therapy, a skin biopsy was performed. The specimen showed the presence of epithelioid cell granuloma and panniculitis. Acid-fast organisms were found on Ziehl-Neelsen staining. A polymerase chain reaction test of tuberculosis was positive. Although a diagnosis of miliary tuberculosis was suggested, examinations of a bone marrow biopsy and fundoscopy revealed normal results. The patient's symptoms improved following treatment with isoniazid, rifampicin and ethambutol. This case represents an unusual presentation of tuberculous cellulitis in an immunocompromised patient.

引用

页码：3203 / 3206

页数：4

共 12 条

[1]

Chin P W, 1999, Singapore Med J, V40, P44

[2] Disseminated miliary tuberculosis of the skin in patients with AIDS: Report of four cases [J].