Lymphatic Dissemination and Axillary Web Syndrome in Primary Cutaneous Tuberculosis Secondary to Needlestick Injury

Authors

Alexandre E Malek
Caroline E Fife
John C Rasmussen
Ron J Karni
John R Morrow
Audrey Wanger
Eva M Sevick-Muraca
Luis Ostrosky-Zeichner

Publication Date

7-1-2021

Journal

Open Forum Infectious Diseases

Abstract

Cutaneous tuberculosis secondary to skin inoculation of Mycobacterium tuberculosis is uncommon but it can occur in the health care settings. Herein, we report an unusual case of primary cutaneous tuberculosis of the thumb following a needlestick injury. The infection progressed with a necrotic granuloma, lymphatic dysfunction as visualized by near-infrared fluorescence lymphatic imaging, and the development of an axillary web syndrome.

Keywords

axillary web syndrome, dermal backflow, lymphatic dissemination, cutaneous tuberculosis, needlestick injury, near-infrared fluorescence imaging

Comments

PMID: 34322561