Management of Tuberculous Cutaneous Fistula
Tuberculosis is an endemic emergency that is prevalent in developing countries, particularly in sub-Saharan Black Africa, including Congo-Brazzaville. In addition to the pulmonary, ganglionic, and bone forms, there are other poorly documented locations. In the Congo, among these is cutaneous tubercu...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2020/7840963 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850167749732466688 |
|---|---|
| author | Massamba Miabaou Didace Lenga Loumingou Ida Ondima Irène Peko Jean Félix |
| author_facet | Massamba Miabaou Didace Lenga Loumingou Ida Ondima Irène Peko Jean Félix |
| author_sort | Massamba Miabaou Didace |
| collection | DOAJ |
| description | Tuberculosis is an endemic emergency that is prevalent in developing countries, particularly in sub-Saharan Black Africa, including Congo-Brazzaville. In addition to the pulmonary, ganglionic, and bone forms, there are other poorly documented locations. In the Congo, among these is cutaneous tuberculosis which is exceptional. A 9-year-old boy and two adult patients had persistent lesions of the left hip and thigh wounds, chest wall, and hypogastric wound with no healing for more than four months, respectively. Among these patients, one case of tuberculous contact was noted. Histopathological examination revealed a Koester follicle, suggesting a tuberculous skin fistula. A fistulectomy was performed, coupled with a quadruple antituberculous therapy combining rifampicin, isoniazid, ethambutol, and pyrazinamide for two months, relayed by a dual therapy consisting of isoniazid and ethambutol for 6 to 8 months. The evolution was favorable in all cases with healing of the lesions after 3 to 6 weeks. The existence of inexhaustible fistulas and the absence of scarring of a wound should make one suspect, among other things, cutaneous tuberculosis. The product of fistulectomy makes it possible to establish the histological diagnosis of cutaneous tuberculosis. |
| format | Article |
| id | doaj-art-e01c159e40574081b1119ff34a0ec9ac |
| institution | OA Journals |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-e01c159e40574081b1119ff34a0ec9ac2025-08-20T02:21:07ZengWileyCase Reports in Surgery2090-69002090-69192020-01-01202010.1155/2020/78409637840963Management of Tuberculous Cutaneous FistulaMassamba Miabaou Didace0Lenga Loumingou Ida1Ondima Irène2Peko Jean Félix3Department of Digestive Surgery, Brazzaville Teaching University Hospital, Brazzaville, CongoDepartment of Dermatology, Brazzaville Teaching University Hospital, Brazzaville, CongoDepartment of Pediatrics Surgery, Brazzaville Teaching University Hospital, Brazzaville, CongoLaboratory of Pathological Anatomy and Cytology, Brazzaville Teaching University Hospital, Brazzaville, CongoTuberculosis is an endemic emergency that is prevalent in developing countries, particularly in sub-Saharan Black Africa, including Congo-Brazzaville. In addition to the pulmonary, ganglionic, and bone forms, there are other poorly documented locations. In the Congo, among these is cutaneous tuberculosis which is exceptional. A 9-year-old boy and two adult patients had persistent lesions of the left hip and thigh wounds, chest wall, and hypogastric wound with no healing for more than four months, respectively. Among these patients, one case of tuberculous contact was noted. Histopathological examination revealed a Koester follicle, suggesting a tuberculous skin fistula. A fistulectomy was performed, coupled with a quadruple antituberculous therapy combining rifampicin, isoniazid, ethambutol, and pyrazinamide for two months, relayed by a dual therapy consisting of isoniazid and ethambutol for 6 to 8 months. The evolution was favorable in all cases with healing of the lesions after 3 to 6 weeks. The existence of inexhaustible fistulas and the absence of scarring of a wound should make one suspect, among other things, cutaneous tuberculosis. The product of fistulectomy makes it possible to establish the histological diagnosis of cutaneous tuberculosis.http://dx.doi.org/10.1155/2020/7840963 |
| spellingShingle | Massamba Miabaou Didace Lenga Loumingou Ida Ondima Irène Peko Jean Félix Management of Tuberculous Cutaneous Fistula Case Reports in Surgery |
| title | Management of Tuberculous Cutaneous Fistula |
| title_full | Management of Tuberculous Cutaneous Fistula |
| title_fullStr | Management of Tuberculous Cutaneous Fistula |
| title_full_unstemmed | Management of Tuberculous Cutaneous Fistula |
| title_short | Management of Tuberculous Cutaneous Fistula |
| title_sort | management of tuberculous cutaneous fistula |
| url | http://dx.doi.org/10.1155/2020/7840963 |
| work_keys_str_mv | AT massambamiabaoudidace managementoftuberculouscutaneousfistula AT lengaloumingouida managementoftuberculouscutaneousfistula AT ondimairene managementoftuberculouscutaneousfistula AT pekojeanfelix managementoftuberculouscutaneousfistula |