scholarly journals Lupus vulgaris: a rare presentation of tuberculosis

Author(s):  
Nasreen Ali ◽  
Sunil Kumar Agarwalla ◽  
Niranjan Mohanty ◽  
Pulok Ranjan Mallick

70-80% of tuberculosis in children is pulmonary tuberculosis and the rest belong to the group of extra pulmonary tuberculosis, of which cutaneous TB is relatively uncommon. Here, we present a case of 10year old boy who was admitted in emergency paediatric department of MKCG medical college with complains of pain abdomen. On further examination and investigation was diagnosed as a case of Lupus vulgaris with SAIO.

2013 ◽  
Vol 2013 (5) ◽  
pp. rjt030-rjt030 ◽  
Author(s):  
P. Dugg ◽  
P. Shivhare ◽  
S. Mittal ◽  
H. Singh ◽  
P. Tiwari ◽  
...  

2021 ◽  
Vol 15 (5) ◽  
pp. 1058-1060
Author(s):  
Shamshad Ali ◽  
M Imran Aslam ◽  
Nayyar M Elahi ◽  
Waseem A Khan ◽  
M Saqib Musharaf ◽  
...  

Aim: To determine the frequency of tuberculosis in the patients of diabetes. Study design: Cross-Sectional Place and duration of study: Department of Pulmonology, Avicenna Medical College, Lahore from 1st March 2020 to 31st August 2020. Methodology: Two hundred patients of both genders were presented in this study. Patients detailed demographics age, sex and body mass index were recorded after taking proper consent. Patients admitted in outpatient department with diabetic duration greater than 5years. The different variants of pulmonary and extra pulmonary tuberculosis were measured. Results: There were 120(60%) males and 80(40%) were females with mean age was 51.8±18.22 years. The mean duration of diabetes was 11.5±9.19 years. 60% patients were addicted to gutka and smoking. Active tuberculosis was only found in 30(15%) cases. Pulmonary tuberculosis were 17(56.7%) and the rest 13(43.3%) were extra pulmonary tuberculosis. Eighteen (60%) patients had smear positive and 12(40%) had smear -ve TB. Conclusion: The frequency of tuberculosis in the diabetic patients was high as compared to other population. It can be cure by early diagnosed of disease otherwise multidrug-resistant tuberculosis can become serious health problem among public. Key words: Prevalence, Tuberculosis, Diabetic patient, Multidrug-resistant tuberculosis


2016 ◽  
Vol 5 (2) ◽  
pp. 133-136 ◽  
Author(s):  
Darshan K. Bajaj ◽  
Ajay K. Verma ◽  
Riddhi Jaiswal ◽  
Surya Kant ◽  
Anand Patel ◽  
...  

2016 ◽  
Vol 13 (1) ◽  
pp. 45-51
Author(s):  
Sanju Babu Shrestha ◽  
G P Pokhrel ◽  
S B Pradhan

Introduction: Although cutaneous tuberculosis constitutes a small percentage of extra pulmonary tuberculosis, it has not been fully documented in Nepal and more so in the pediatric population.  Objectives: The aim of the study was to assess the epidemiology and clinical profile of childhood cutaneous tuberculosis at Kathmandu Medical College and Teaching Hospital, Nepal. Material and Methods: Children (below 15 years of age) with cutanesous tuberculosis who attended the teaching hospital between April 2008 and March 2014 were studied. Results: A total of 17 children with skin tuberculosis were identified during the study period, which constituted 34% of all patients with skin tuberculosis. There were 11 boys and 6 girls with a mean age of 8.8 years. The duration of the lesions ranged from 1 month to 4 years and 13 (76.5%) were brought for medical help after six months of onset of the disease. Lower limb was the most common site of involvement. Of the various patterns of cutaneous tuberculosis; scrofuloderma was the most common 7 (41.2%) followed by lupus vulgaris 6 (35.3%), erythema nodosum 2 (11.7%) and gumma 1 (5.8%). Combination of lupus vulgaris and scrofuloderma was noted in one patient. Three patients (17.6%) had internal organ involvement as pulmonary tuberculosis. Conclusion: The pattern of skin tuberculosis had wide variation with a few of them having systemic involvement. Therefore, these patients need a thorough evaluation or an uniform standard therapeutic regimen to cover both internal organ and cutaneous tuberculosis.NJDVL Vol. 13, No. 1, 2015 Page: 45-51


2018 ◽  
Vol 5 (2) ◽  
pp. 457
Author(s):  
Jyoti Bajpai ◽  
Surya Kant ◽  
Ajay Kumar Verma ◽  
Darshan Kumar Bajaj ◽  
Akshyaya Pradhan

Extra pulmonary tuberculosis (TB) continues to be a serious problem in developing countries. The prevalence of extra pulmonary tuberculosis (EPTB) is higher in immunocompromised, especially human immunodeficiency virus (HIV) co-infected patients. The most common site of extra pulmonary tuberculosis is lymph node followed by pleura. Lymph nodes are pivotal component of immune system and hence they are affected in various conditions like infections, autoimmune disorder, malignancy However, tubercular affliction of submandibular lymph node is not common. Only a few cases of tubercular submandibular abscess in immune-competent children have been reported in literature. Here we report a case of two-year old girl with non-healing multiple submandibular lymph node abscess presenting as a primary tuberculosis that proved diagnostically challenging. She responded favourably to a five drug anti-tubercular regimen.


2016 ◽  
Vol 12 (1) ◽  
pp. 20-24
Author(s):  
S. Bag ◽  
N Deep ◽  
S Padhy

Introduction: Pulmonary tuberculosis is a public health challenge in the developing Nations. Extra pulmonary tuberculosis (EPTB) is still more challenging. EPTB with co-infection with human deficiencies virus (HIV) and malnutrition further aggravate the problems, the worst human health scenario in 3rd world’s nation. The objective of the study was to explore the magnitude of Extra tuberculosis and to assess the challenge faced in encountering the patient with malnutrition, HIV infection etc.Method: All cases of tuberculosis registered under RNTCP in between 2009 - 2012 in MKCG Medical College, Berhampur, Odisha, India were scrutinized, 2596 case of EPTB were fished out. Details clinical, socio-economic, demographic, HIV status & treatment outcome of these patients were subjected to critical analysis.Results: Even though high prevalence of EPTB is encounter in poor socio-economic, rural back ground and people living with HIV and AIDS, upper and middle classes are not exempted complexities of diagnostic and therapeutic challenges are more often then not observed. Outcome is grim in immune weakened cases.Conclusion: This study emphasized the resurgence of extra pulmonary tuberculosis involving all classes of people in Indian sub-continent. Challenges faced are delineated and determinant of clinical outcome in developing Nations have been highlighted.SAARC J TUBER LUNG DIS HIV/AIDS, 2015; 12(1), Page: 20-24


2014 ◽  
Vol 6 (1) ◽  
pp. e2014058 ◽  
Author(s):  
Ilker Devrim ◽  
Hüseyin Aktürk ◽  
Nuri Bayram ◽  
Hurşit Apa ◽  
Şener Tulumoğlu ◽  
...  

Introduction: Tuberculosis (TB) remains a major global health problem affecting millions of people annually. Tuberculosis in children has unique features different from adults which makes the diagnosis to be more difficult. The spectrum of the symptoms of TB in children could vary from non-specific symptoms to severe clinical presentations.  In this study, we reviewed our experience at pediatric patients with active TB admitted in a tertiary hospital  and aimed to compare the epide­miological, clinical and microbiological features of  children with  the extra-pulmonary tuberculosis(EPTB) and pulmonary tuberculosis(PTB).Material and methods: Patients under 14 years of age diagnosed with active TB in our unit between December 2008 and September 2013 were included in the study. Data including demographic characteristics, clinical history, microbiology, imaging studies, medications and outcomes of the patients were collected from medical records.Results: A total of 129 cases of active TB were identified.  Ninety-two (78.6%) of the cases had Pulmonary Tuberculosis and 25 (21.4%) of the cases had Extra-pulmonary tuberculosis. The most common signs and symptoms on admission were fever in 40 cases (34.2%) and cough in 81 cases (69.2%). The number of patients without symptoms including fever, cough, malaise and weight loss were significantly higher in EXPTB (72.0%) group when compared with patients in PTB group (13.0%) (p<0.05). There was no significant difference between children with pulmonary and extra-pulmonary  tuberculosis by means of ratios of white blood cell count, c-reactive protein and erythrocyte sedimentation rate (p> 0.05). The detection rate of source in PTB group (42.4%) was significantly higher than the rate in  EPTB group (20.0%)( p=0.04). In the drug-resistant group, no source of infection could be established in 5 of 9 patients (55.5%).Conclusions: Extra-pulmonary tuberculosis diagnosis is more difficult than Pulmonary tuberculosis in children due to the various problems such as absence of associated pulmonary involvement,  lack of constitutional symptoms and negative tuberculosis exposure history compared to Pulmonary Tuberculosis. New strategies are required for improving the diagnosis of  Extra-pulmonary tuberculosis in children


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