Primary Cutaneous Tuberculosis after a Needlestick Injury from a Patient with AIDS and Undiagnosed Tuberculosis
Authors: Francoise Kramer
Journal: Annals of Internal Medicine (1993)

Brief Reports1 October 1993Primary Cutaneous Tuberculosis after a Needlestick Injury from a Patient with AIDS and Undiagnosed TuberculosisFrancoise Kramer, MD, Scott A. Sasse, MD, Janet C. Simms, RN, and John M. Leedom, MDFrancoise Kramer, MDFrom the Los Angeles County/University of Southern California Medical Center, Los Angeles, California., Scott A. Sasse, MDFrom the Los Angeles County/University of Southern California Medical Center, Los Angeles, California., Janet C. Simms, RNFrom the Los Angeles County/University of Southern California Medical Center, Los Angeles, California., and John M. Leedom, MDFrom the Los Angeles County/University of Southern California Medical Center, Los Angeles, California.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-119-7_Part_1-199310010-00007 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Case ReportA 48-year-old, white registered nurse, who was previously healthy, reported suffering a 1-cm superficial laceration of her left forearm. The laceration resulted from a metallic needle, which had previously been inserted into the port of a central-line catheter of a patient with the acquired immunodeficiency syndrome (AIDS). The lesion oozed a few drops of blood and was immediately washed with water and an iodine solution. Zidovudine (Retrovir, Burroughs Wellcome Co., Research Triangle Park, North Carolina) administration was started within 2 hours of the incident and was continued at a dose of 200 mg every 4 hours. The nurse ...References1. O'Leary PA, Harrison MW. Inoculation tuberculosis. Arch Dermatol Syph. 1941; 44:371-90. Google Scholar2. Goette DK, Jacobson KW, Doty RD. Primary inoculation tuberculosis of the skin. Prosector's paronychia. Arch Dermatol. 1978; 114: 567-9. Google Scholar3. Michelson HE. The primary complex of tuberculosis of the skin. Arch Dermatol Syph. 1935; 32:589-601. Google Scholar4. Holt LE. Tuberculosis acquired through ritual circumcision. JAMA. 1913; 61:99-102. Google Scholar5. Dennie CC. In discussion, Epstein NN. Primary tuberculous complex of the skin. Arch Dermatol Syph. 1945; 51:316-24. Google Scholar6. Heycock JB, Noble TC. Four cases of syringe transmitted tuberculosis. Tubercle. 1961; 42:25-7. Google Scholar7. Heilman KM, Muschenheim C. Primary cutaneous tuberculosis resulting from mouth-to-mouth respiration. N Engl J Med. 1965; 273: 1035-6. Google Scholar8. Canby JP. Primary cutaneous tuberculosis. Pediatrics. 1963; 63: 331-3. Google Scholar9. American Thoracic Society. Medical Section of the American Lung Association. Treatment of tuberculosis and tuberculosis infection in adults and children. Am Rev Respir Dis. 1986; 134:355-63. Google Scholar10. Gerberding JL, Hopewell PC, Kaminsky LS, Sande MA. Transmission of hepatitis B without transmission of AIDS by accidental needlestick (Letter). N Engl J Med. 1985; 312:56-7. Google Scholar11. Glaser JB, Garden A. Inoculation of cryptococcosis without transmission of the acquired immunodeficiency syndrome (Letter). N Engl J Med. 1985; 312:266. Google Scholar Author, Article, and Disclosure InformationAffiliations: From the Los Angeles County/University of Southern California Medical Center, Los Angeles, California.Corresponding Author: Francoise Kramer, MD, LAC/USC Medical Center, Section of Infectious Diseases, Room 6442, 1200 North State Street, Los Angeles, CA 90033. 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