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J Pediatr Infect Dis 2012; 07(01): 037-040
DOI: 10.3233/JPI-2012-0338
Georg Thieme Verlag KG Stuttgart – New York

Tuberculous gumma masquerading as mycetoma foot in a child

Venkateswari Ramesh
a   Department of Pediatrics, CHILDS Trust Medical Research Foundation, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, India
,
Janani Sankar
a   Department of Pediatrics, CHILDS Trust Medical Research Foundation, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, India
,
Ramkumar Ramamoorthy
b   Department of Pediatric Dermatology, CHILDS Trust Medical Research Foundation, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, India
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Publication History

31 August 2011

16 November 2011

Publication Date:
28 July 2015 (online)

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Abstract

Tuberculosis is a multisystemic disease with varied presentations.We report a case of Tuberculous gumma masquerading as mycetoma foot in a child. A nine year old malnourished boy, who was diagnosed and treated as mycetoma foot, was reevaluated in view of persisting skin lesions. Tissue biopsy histopathology was suggestive of tuberculoid granuloma. Mycobacterium tuberculosis was isolated in tissue biopsy culture. He also had underlying dissemination with meningeal involvement. The unusual presentation and the importance of screening for underlying dissemination in children diagnosed to have cutaneous tuberculosis will be discussed.

Keywords

Tuberculous gumma - tuberculous meningitis - mycetoma foot