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      MULTIFOCAL TUBERCULOSIS VERRUCOSA CUTIS

      case-report

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          Abstract

          Tuberculosis has been a well-known affliction of human kind, since antiquity. Cutaneous tuberculosis constitutes only a small proportion of extra pulmonary tuberculosis and multifocal involvement of cutaneous tuberculosis is an even rarer manifestation. We report one such case of multifocal tuberculosis verrucosa cutis in a 17-year old male patient in the absence of any primary tuberculous focus.

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          Most cited references11

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          Mycobacterium tuberculosis in zoo and wildlife species.

          Tuberculosis caused by Mycobacterium tuberculosis and M. tuberculosis-like organisms has been identified in a wide range of species, including non-human primates, elephants and other exotic ungulates, carnivores, marine mammals and psittacine birds. Disease associated with M. tuberculosis has occurred mostly within captive settings and does not appear to occur naturally in free-living mammals. Mycobacterium tuberculosis probably originated as an infection of humans, but from the zoonotic standpoint, non-human primates, Asian elephants and psittacine birds have the potential to transmit this disease to humans. However, the overall prevalence of disease in these susceptible species is low and documented transmissions of M. tuberculosis between animals and humans are uncommon. Mycobacterium tuberculosis causes progressive pulmonary disease in mammals and a muco-cutaneous disease in parrots. In all cases, the disease can disseminate and be shed into the environment. Diagnosis in living animals is based on intradermal tuberculin testing in non-human primates, culturing trunk secretions in elephants, and biopsy and culture of external lesions in parrots. Ancillary testing with deoxyribonucleic acid probes and nucleic acid amplification, and enzyme-linked immunosorbent assays have been adapted to some of these species with promising results. Additionally, new guidelines for controlling tuberculosis in elephants in the United States of America, and programmes for tuberculosis prevention in animal handlers have been established.
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            Cutaneous tuberculosis. Current concepts.

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              Tuberculosis of the skin in Hong Kong. (A review of 160 cases).

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                Author and article information

                Journal
                Indian J Dermatol
                IJD
                Indian Journal of Dermatology
                Medknow Publications (India )
                0019-5154
                1998-3611
                May-Jun 2011
                : 56
                : 3
                : 332-334
                Affiliations
                [1] Department of Dermatology, Venereology & Leprology, RMMCH, Chidambaram, India.
                Author notes
                Address for correspondence: Dr. Jiby Rajan, House No. 204, Muthiah Nagar Main Road, Muthiah Nagar, Chidambaram 608002, India. E-mail: jibyzac@ 123456yahoo.co.in
                Article
                IJD-56-332
                10.4103/0019-5154.82500
                3132919
                21772603
                f7cac0c4-1206-447c-9377-ab19ec3dfe5b
                © Indian Journal of Dermatology

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : August 2009
                : July 2010
                Categories
                Case Report

                Dermatology
                tuberculosis,cutaneous,multifocal
                Dermatology
                tuberculosis, cutaneous, multifocal

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