Cutaneous Extensively Drug-Resistant Tuberculosis

Douglas P. Olson Department of Infectious Disease, Division of Medicine, and HIV Pathogenesis Programme, University of KwaZulu Natal, Durban, South Africa; George Washington University School of Medicine, Washington, District of Columbia; Partners AIDS Research Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts

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Cheryl L. Day Department of Infectious Disease, Division of Medicine, and HIV Pathogenesis Programme, University of KwaZulu Natal, Durban, South Africa; George Washington University School of Medicine, Washington, District of Columbia; Partners AIDS Research Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts

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Nombulelo P. Magula Department of Infectious Disease, Division of Medicine, and HIV Pathogenesis Programme, University of KwaZulu Natal, Durban, South Africa; George Washington University School of Medicine, Washington, District of Columbia; Partners AIDS Research Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts

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Faieza Sahid Department of Infectious Disease, Division of Medicine, and HIV Pathogenesis Programme, University of KwaZulu Natal, Durban, South Africa; George Washington University School of Medicine, Washington, District of Columbia; Partners AIDS Research Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts

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Mahomed-Yunus S. Moosa Department of Infectious Disease, Division of Medicine, and HIV Pathogenesis Programme, University of KwaZulu Natal, Durban, South Africa; George Washington University School of Medicine, Washington, District of Columbia; Partners AIDS Research Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts

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A 48-year-old immunocompetent man without known exposure to tuberculosis had a > 10-year history of recurrent skin lesions. Cutaneous tuberculosis without any current or past history of pulmonary tuberculosis was diagnosed. Culture of biopsy specimens showed the organism to be resistant to multiple first-line and second-line agents. The patient had a broad, vigorous CD4-specific immune response against multiple tuberculosis antigens. This case is the first report of cutaneous extensively drug-resistant tuberculosis.

Author Notes

  • 1

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  • 2

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