Necrotic Tuberculin Skin (Mantoux) Test Reaction: A Case Report and an Estimation of Frequency

Autor: Bunnet, Dim, Kerleguer, Alexandra, Kim, Peou, Pean, Polidy, Phuong, Viseth, Heng, Nayyim, Peng, Yiksing, Borand, Laurence, Tarantola, Arnaud
Přispěvatelé: Unité d'Épidémiologie et de Santé Publique [Phnom Penh], Institut Pasteur du Cambodge, Réseau International des Instituts Pasteur (RIIP)-Réseau International des Instituts Pasteur (RIIP), Réseau International des Instituts Pasteur (RIIP), National Pediatric Hospital, University of Health Sciences – Cambodia, Immunologie [Phnom Penh], The authors have reported to that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.
Rok vydání: 2015
Předmět:
Zdroj: Chest
Chest, American College of Chest Physicians, 2015, 148 (1), pp.e1-e4. ⟨10.1378/chest.14-2463⟩
ISSN: 1931-3543
0012-3692
DOI: 10.1378/chest.14-2463⟩
Popis: International audience; Tuberculin skin testing was performed on a 5-year-old girl in Phnom Penh, Cambodia. She had been immunized by Bacille de Calmette et Guérin. She was tested because of a palpable cervical node and a slightly elevated temperature. Within 48 h, a deep necrotic lesion appeared on the volar aspect of the left arm. The lesion was treated locally, and the child was not treated for suspected TB. To our knowledge, this is the first instance of necrosis in 11,392 people who received Tubersol doses since 1996 to date at our International Vaccination Center, for an estimated incidence of 0.18 per 1,000 (95% Poisson 0.04-0.70 per 1,000 doses used). At a follow-up consultation after 77 days, the lesion had scarred and the child showed no signs suggestive of active TB. Although latent TB infection remains the most likely diagnosis, other types of mycobacterial infection may be considered in the tropical setting and in the absence of signs suggestive of active TB.
Databáze: OpenAIRE