Tuberculous gumma masquerading as mycetoma foot in a child

Article type: Research Article

Authors: Ramesh, Venkateswari | Sankar, Janani | Ramamoorthy, Ramkumar

Affiliations: Department of Pediatrics, CHILDS Trust Medical Research Foundation, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, India | Department of Pediatric Dermatology, CHILDS Trust Medical Research Foundation, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, India

Note: [] Correspondence: Venkateswari Ramesh, Department of Pediatrics, Kanchi Kamakoti CHILDS Trust Hospital, 12-A Nageswara Road, Nungambakkam, Chennai 600034, Tamil Nadu, India. Fax: +91 44 2 825 9633; E-mail: [email protected]

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

DOI: 10.3233/JPI-2012-0338

Journal: Journal of Pediatric Infectious Diseases, vol. 7, no. 1, pp. 37-40, 2012