Published: 2017-01-03

Primary cutaneous tuberculosis associated with reactive cervical lymphadenopathy: a case report

Kaberi Kakati, Ashok Kumar Das, Nizara Baishya, Kishore Das, Lopamudra Kakoti, Jagannath Dev Sharma, Amal Chandra Kataki


Tuberculosis (TB) is a mycobacterial infection that most frequently occurs due to infection with Mycobacterium tuberculosis, an acid-fast bacillus. Cutaneous lesions are relatively uncommon manifestations of TB, occurring in only 1 to 2 percent of all infected patients.  Cutaneous tuberculosis can be acquired either exogenously or endogenously .We present here a case of primary cutaneous tuberculosis with reactive cervical lymphadenopathy.  A high index of suspicion is necessary for prompt diagnosis and treatment.


Cutaneous tuberculosis, Cervical lymphadenopathy, Mycobacterium tuberculosis

Full Text:



Global tuberculosis control. World Health Organization report 2011. Available at iris/ bitstream/ 10665/ 44728/ 1/ 9789241564380_eng.pdf

Sharma SK, Mohan A. Extrapulmonary tuberculosis. Indian J Med Res. 2004;120:316-53.

Sethuraman G, Ramesh V. Cutaneous tuberculosis in children. Pediatr Dermatol. 2013;30:7-16

Ho CK, Ho MH, Chong LY. Cutaneous tuberculosis in Hong Kong: an update. Hong Kong Med J. 2006;12:272-7.

Laennec RT. Deals with mediate auscultation and disease peumons and heart, Asselin and Cie, Paris 1826;649.

Sobh E, Bahour A, Elsayed S, Amer W. A 7-year-old girl with multiple skin ulcers: Case report and literature review. Int J Mycobacteriol. 2015;4:350-3.

Frankel A, Penrose C, Emer J. Cutaneous tuberculosis: A practical case report and review for the dermatologist. J Clin Aesthet Dermatol. 2009;2:19-27.

Chakrabarti S, Pal S, Biswas BK, Bose K, Pal S, Pathak S. Clinico-pathological study of cutaneous granulomatous lesions- A 5 yr experience in a tertiary care hospital in India. Iran J Pathol. 2016;11:54-60.

Zafar MNU, Sadiq S, Menon MA. Morphological study of different granulomatous lesions of the skin. J Pak Assoc Dermatol. 2008;18:21-8.

Sá LC, Meirelles RC, Atherino CC, Fernandes JR, Ferraz FR. Laryngo-pharyngeal tuberculosis. Braz J Otorhinolaryngol 2007;73:862-6.

Baishya N, Das AK, Sharma JD, Singh A, Krishnatreya M, Kataki AC. Primary oro-pharyngeal tuberculosis mimicking as malignancy. Arch Med Health Sci 2015;3:124-6.