The Turkish Journal of Pediatrics 2015 , Vol 57 , Num 2
A Rare Case of Primary Inoculation Tuberculosis Seen After Varicella
1Division of Pediatric Infectious Diseases, Department of Pediatrics, and 2Department of Pathology, Gazi University Faculty of Medicine, Ankara, Turkey.
E-mail: meltemtemizhan@gmail.com
Primary inoculation tuberculosis (TB) is a rare form of cutaneous TB resulting from direct introduction of Mycobacterium tuberculosis into the skin or mucosa of a previously uninfected, nonimmune person. We herein report the first case, to our knowledge, of primary inoculation TB to be seen after varicella; this case explains the possible mechanism of varicella-zoster virusmediated transient cellular immune suppression that predisposed the patient to cutaneous TB. In this case, we believe that varicella-zoster virus (VZV) infection predisposed the patient to primary inoculation TB by leading to direct inoculation of tuberculosis bacilli through vesicles or by suppressing cellular immunity. Keywords : Mycobacterium tuberculosis, primary inoculation tuberculosis, varicella.
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