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.
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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