In this week's discussion, we look at a case from Dr Dipankar Chakraborty in which a 71-year-old male patient presented with a non-healing ulcerated wound on the left elbow, with a secondary wound below the larger wound on the same site.
What do you think of this case?
Multiple dressings and swabs showed staph aureus, so multiple courses of antibiotics were given with no improvement. Finally a punch biopsy was performed which showed focally granulomatous inflammation. Special stains were performed by histologist which confirmed acid fast bacilli.
This is a case of cutaneous tuberculosis which is a very rare condition with epidemiological and infectious disease significance, needing long-term treatment, contact tracing, and probable infection control measures.
The secondary infection of staph aureus was treated with flucloxacillin. Cutaneous tuberculosis requires full treatment with anti-tuberculous drugs. The patient is now being managed by the hospital infectious department.
Learn more with the HealthCert Professional Diploma program in Skin Cancer Medicine - online or with optional practical workshops.
Participate with your cases so that we can learn together! Submit your case here or send details to admin@healthcert.com |
|
Contributing to the Skin Cancer Case Discussion Blog helps meet your annual Performance Review CPD requirement! |
|
Submit your own case* = 1 CPD hour (Performance Review) *Case must be published on the blog to qualify. |
Comment/engage with colleagues’ cases = 0.5 CPD hours (Performance Review) |
If you interact with this case or submit your own case, you can Quick Log your CPD hours with the RACGP via the usual self-submission process. You will be asked to reflect on what you have learned, and you will require proof you interacted with the blog; a screenshot will suffice. |