Primary inoculation tuberculosis is a skin condition that develops at the site of inoculation of Mycobacterium tuberculosis in tuberculosis-free individuals. This report describes the diagnosis, treatment and >1 year follow-up of 30 patients presenting with acupuncture-induced primary inoculation tuberculosis. Our data provide a deeper insight into this rare route of infection of tuberculosis. We also review effective treatment options.
References
[1]
Luca S, Mihaescu T (2013) History of BCG Vaccine. Maedica (Buchar) 8: 53–58.
[2]
Organization WH (2011) Global tuberculosis control 2011: WHO report 2011. Geneva: WHO.
Ho CK, Ho MH, Chong LY (2006) Cutaneous tuberculosis in Hong Kong: an update. Hong Kong Med J 12: 272–277.
[5]
Centers for Disease Control and Prevention. Mantoux TB skintest facilitator guide, at. Appendix D: Mantouxtuberculin skin test interpretation table.
[6]
Bloch AB, Rieder HL, Kelly GD, Cauthen GM, Hayden CH, et al. (1989) The epidemiology of tuberculosis in the United States. Implications for diagnosis and treatment. Clin Chest Med 10: 297–313.
[7]
Haim S, Friedman-Birnbaum R (1978) Cutaneous tuberculosis and malignancy. Cutis 21: 643–647.
[8]
American Thoracic Society C, and Infectious Diseases Society of America, (2003) MMWR Recommendations and Reports.
[9]
Tappeiner G (2008) Fitzpatrick's dermatology in general medicine. 7th ed. New York: McGraw-Hill.
[10]
Tigoulet F, Fournier V, Caumes E (2003) Clinical forms of the cutaneous tuberculosis. Bull Soc Pathol Exot 96: 362–367.
[11]
Saitoh H, Yamane N (2000) Comparative evaluation of BACTEC MGIT 960 system with MB/BacT and egg-based media for recovery of mycobacteria. Rinsho Biseibutshu Jinsoku Shindan Kenkyukai Shi 11: 19–26.
[12]
Lee JJ, Suo J, Lin CB, Wang JD, Lin TY, et al. (2003) Comparative evaluation of the BACTEC MGIT 960 system with solid medium for isolation of mycobacteria. Int J Tuberc Lung Dis 7: 569–574.
[13]
Otu J, Antonio M, Cheung YB, Donkor S, De Jong BC, et al. (2008) Comparative evaluation of BACTEC MGIT 960 with BACTEC 9000 MB and LJ for isolation of mycobacteria in The Gambia. J Infect Dev Ctries 2: 200–205. doi: 10.3855/jidc.263
[14]
Kim JK, Kim TY, Kim DH, Yoon MS (2010) Three cases of primary inoculation tuberculosis as a result of illegal acupuncture. Ann Dermatol 22: 341–345. doi: 10.5021/ad.2010.22.3.341
[15]
Wong HW, Tay YK, Sim CS (2005) Papular eruption on a tattoo: a case of primary inoculation tuberculosis. Australas J Dermatol 46: 84–87. doi: 10.1111/j.1440-0960.2005.00147.x
[16]
Da Mata Jardin O, Hernandez-Perez R, Corrales H, Cardoso-Leao S, de Waard JH (2010) Follow-up on an outbreak in Venezuela of soft-tissue infection due to Mycobacterium abscessus associated with Mesotherapy. Enferm Infecc Microbiol Clin 28: 596–601. doi: 10.1016/j.eimc.2009.08.003
[17]
Lu HQ (2012) Thirty-three cases of tuberculous intestinal obstruction treated by moxibustion on garlic combined with electroacupuncture. Zhongguo Zhen Jiu 32: 570.
[18]
Zhao XP, Chen RX, Lu HQ (2009) Influence of garlic moxibustion on the therapeutic effect in re-treatment patients of tuberculosis. Zhongguo Zhen Jiu 29: 10–12.
[19]
Rook GA, Hernandez-Pando R (1997) Pathogenetic role, in human and murine tuberculosis, of changes in the peripheral metabolism of glucocorticoids and antiglucocorticoids. Psychoneuroendocrinology 22 Suppl 1S109–113. doi: 10.1016/s0306-4530(97)00014-0
[20]
Rook G, Baker R, Walker B, Honour J, Jessop D, et al. (2000) Local regulation of glucocorticoid activity in sites of inflammation. Insights from the study of tuberculosis. Ann N Y Acad Sci 917: 913–922. doi: 10.1111/j.1749-6632.2000.tb05457.x
[21]
Walker LA, Budd S (2002) UK: the current state of regulation of complementary and alternative medicine. Complement Ther Med 10: 8–13. doi: 10.1054/ctim.2002.0522
