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Published in: Infection 4/2013

01-08-2013 | Brief Report

Primary inoculation tuberculosis after an accidental scalpel injury

Authors: D. Huang, H. Yin

Published in: Infection | Issue 4/2013

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Abstract

Tuberculosis (TB) infection in healthcare personnel occurs mostly by mycobacteria inhalation and contact with infected material. Here, we report a case of primary inoculation TB in a surgeon resulting from an accidental scalpel injury. Standard anti-TB treatment produced a good result, and no relapses occurred in the 18-month follow-up period. Given the increased incidence of TB and the use of surgery to treat multidrug-resistant (MDR) strains, this report underscores the need to take special precautions during lesion excision in TB patients.
Literature
1.
go back to reference Menzies D, Joshi R, Pai M. Risk of tuberculosis infection and disease associated with work in health care settings. Int J Tuberc Lung Dis. 2007;11:593–605.PubMed Menzies D, Joshi R, Pai M. Risk of tuberculosis infection and disease associated with work in health care settings. Int J Tuberc Lung Dis. 2007;11:593–605.PubMed
2.
go back to reference Chandramukhi A, Manjunath MV, Veenakumari HB, Mahadevan A, Shivaraja G, Buggi S. Tuberculous skin ulcer following needle-prick injury in a health care professional. J Assoc Physicians India. 2005;53:825–6.PubMed Chandramukhi A, Manjunath MV, Veenakumari HB, Mahadevan A, Shivaraja G, Buggi S. Tuberculous skin ulcer following needle-prick injury in a health care professional. J Assoc Physicians India. 2005;53:825–6.PubMed
3.
go back to reference Kramer F, Sasse SA, Simms JC, Leedom JM. Primary cutaneous tuberculosis after a needlestick injury from a patient with AIDS and undiagnosed tuberculosis. Ann Intern Med. 1993;119:594–5.CrossRefPubMed Kramer F, Sasse SA, Simms JC, Leedom JM. Primary cutaneous tuberculosis after a needlestick injury from a patient with AIDS and undiagnosed tuberculosis. Ann Intern Med. 1993;119:594–5.CrossRefPubMed
4.
go back to reference Belchior I, Seabra B, Duarte R. Primary inoculation skin tuberculosis by accidental needle stick. BMJ Case Rep 2011; 2011. pii: bcr1120103496. Belchior I, Seabra B, Duarte R. Primary inoculation skin tuberculosis by accidental needle stick. BMJ Case Rep 2011; 2011. pii: bcr1120103496.
5.
go back to reference Caminero LJA. Guía de la tuberculosis para médicos especialistas. Paris: International Union against Tuberculosis and Respiratory Diseases (UICTER); 2003. p. 35–7. Caminero LJA. Guía de la tuberculosis para médicos especialistas. Paris: International Union against Tuberculosis and Respiratory Diseases (UICTER); 2003. p. 35–7.
6.
go back to reference Ho CK, Ho MH, Chong LY. Cutaneous tuberculosis in Hong Kong: an update. Hong Kong Med J. 2006;12:272–7.PubMed Ho CK, Ho MH, Chong LY. Cutaneous tuberculosis in Hong Kong: an update. Hong Kong Med J. 2006;12:272–7.PubMed
7.
go back to reference Collins CH, Grange JM. Tuberculosis acquired in laboratories and necropsy rooms. Commun Dis Public Health. 1999;2:161–7.PubMed Collins CH, Grange JM. Tuberculosis acquired in laboratories and necropsy rooms. Commun Dis Public Health. 1999;2:161–7.PubMed
8.
go back to reference Wong HW, Tay YK, Sim CS. Papular eruption on a tattoo: a case of primary inoculation tuberculosis. Australas J Dermatol. 2005;46:84–7.CrossRefPubMed Wong HW, Tay YK, Sim CS. Papular eruption on a tattoo: a case of primary inoculation tuberculosis. Australas J Dermatol. 2005;46:84–7.CrossRefPubMed
9.
go back to reference Heilman KM, Muschenheim C. Primary cutaneous tuberculosis resulting from mouth-to-mouth respiration. N Engl J Med. 1965;273:1035–6.CrossRefPubMed Heilman KM, Muschenheim C. Primary cutaneous tuberculosis resulting from mouth-to-mouth respiration. N Engl J Med. 1965;273:1035–6.CrossRefPubMed
10.
go back to reference Kim JK, Kim TY, Kim DH, Yoon MS. Three cases of primary inoculation tuberculosis as a result of illegal acupuncture. Ann Dermatol. 2010;22:341–5.CrossRefPubMed Kim JK, Kim TY, Kim DH, Yoon MS. Three cases of primary inoculation tuberculosis as a result of illegal acupuncture. Ann Dermatol. 2010;22:341–5.CrossRefPubMed
11.
go back to reference Tapias L, Tapias-Vargas LF, Tapias-Vargas L. Primary cutaneous inoculation tuberculosis in a healthcare worker as a result of a surgical accident. Int J Dermatol. 2008;47:833–5.CrossRefPubMed Tapias L, Tapias-Vargas LF, Tapias-Vargas L. Primary cutaneous inoculation tuberculosis in a healthcare worker as a result of a surgical accident. Int J Dermatol. 2008;47:833–5.CrossRefPubMed
12.
go back to reference Almaguer-Chávez J, Ocampo-Candiani J, Rendón A. Current panorama in the diagnosis of cutaneous tuberculosis. Actas Dermosifiliogr. 2009;100:562–70.CrossRefPubMed Almaguer-Chávez J, Ocampo-Candiani J, Rendón A. Current panorama in the diagnosis of cutaneous tuberculosis. Actas Dermosifiliogr. 2009;100:562–70.CrossRefPubMed
13.
go back to reference Barbagallo J, Tager P, Ingleton R, Hirsch RJ, Weinberg JM. Cutaneous tuberculosis: diagnosis and treatment. Am J Clin Dermatol. 2002;3:319–28.CrossRefPubMed Barbagallo J, Tager P, Ingleton R, Hirsch RJ, Weinberg JM. Cutaneous tuberculosis: diagnosis and treatment. Am J Clin Dermatol. 2002;3:319–28.CrossRefPubMed
14.
go back to reference Beyt BE Jr, Ortbals DW, Santa Cruz DJ, Kobayashi GS, Eisen AZ, Medoff G. Cutaneous mycobacteriosis: analysis of 34 cases with a new classification of the disease. Medicine (Baltimore). 1981;60(2):95–109. Beyt BE Jr, Ortbals DW, Santa Cruz DJ, Kobayashi GS, Eisen AZ, Medoff G. Cutaneous mycobacteriosis: analysis of 34 cases with a new classification of the disease. Medicine (Baltimore). 1981;60(2):95–109.
15.
go back to reference Kelen GD, Green GB, Hexter DA, et al. Substantial improvement in compliance with universal precautions in an emergency department following institution of policy. Arch Intern Med. 1991;151:2051–6.CrossRefPubMed Kelen GD, Green GB, Hexter DA, et al. Substantial improvement in compliance with universal precautions in an emergency department following institution of policy. Arch Intern Med. 1991;151:2051–6.CrossRefPubMed
Metadata
Title
Primary inoculation tuberculosis after an accidental scalpel injury
Authors
D. Huang
H. Yin
Publication date
01-08-2013
Publisher
Springer Berlin Heidelberg
Published in
Infection / Issue 4/2013
Print ISSN: 0300-8126
Electronic ISSN: 1439-0973
DOI
https://doi.org/10.1007/s15010-013-0442-y

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