「Dermatological mycobacterium infecions」の版間の差分

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(ページの作成:「==skin mycobacterial diseases== *leprosy **only in human *cutaneous TB **only in human *non-TB mycobacterium (NTM) **water-borne **''M. ulcerans'' = Buruli ulcer **''M. c…」)
 
18行目: 18行目:
  
 
==cutaneous TB==
 
==cutaneous TB==
*1-2% of all TB patients
+
*estimated 1-2% of all TB patients
 
*diverse range of symptoms
 
*diverse range of symptoms
 +
 +
===route of transmission===
 +
*exogenous inoculation
 +
**ulcer,
 +
**tuberculosis verrucosa cutis, warty tuberculosis
 +
**orificial tuberculosis - direct contact of ''M.t.'' contained in sputum from pulmonary TB
 +
*endogenous spread from internal TB
 +
**abscess,
 +
**scrofuloderma - emerged from lymphadenitis
 +
*hematogenous
 +
**nodule, abscess, patch
 +
**as part of miliary tuberculosis
 +
**immunocompromised host, children
 +
*tuberculid - allergic reaction against ''M. tuberculosis''
 +
**erythema, papule

2021年4月22日 (木) 09:13時点における版

skin mycobacterial diseases

  • leprosy
    • only in human
  • cutaneous TB
    • only in human
  • non-TB mycobacterium (NTM)
    • water-borne
    • M. ulcerans = Buruli ulcer
    • M. chelonae
    • M. marinum - highest incidence
    • M. avium - long-maintained hot bath

when to suspect

  • skin symptoms without inflammatory sings (pain, swelling, redness)
  • slow progression
  • specific patient background
    • occupation, living place, triggering event

cutaneous TB

  • estimated 1-2% of all TB patients
  • diverse range of symptoms

route of transmission

  • exogenous inoculation
    • ulcer,
    • tuberculosis verrucosa cutis, warty tuberculosis
    • orificial tuberculosis - direct contact of M.t. contained in sputum from pulmonary TB
  • endogenous spread from internal TB
    • abscess,
    • scrofuloderma - emerged from lymphadenitis
  • hematogenous
    • nodule, abscess, patch
    • as part of miliary tuberculosis
    • immunocompromised host, children
  • tuberculid - allergic reaction against M. tuberculosis
    • erythema, papule