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A case of tuberculous gumma: there is more to it than meets the eye
  1. Srikant Mohta1,
  2. Arvind Kumar2,
  3. Nayani Singh1,
  4. Naveet Wig2
  1. 1Department of Internal Medicine, All India Institute of Medical Sciences, New Delhi, India
  2. 2Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Arvind Kumar, linktoarvind{at}


We present a case of a young girl who presented with multiple cutaneous abscesses over 2 years at different sites. She had no constitutional symptoms or history of tuberculosis. On investigation, she was found to have rifampicin-sensitive tuberculosis presenting as tubercular gumma, a rare form of cutaneous tuberculosis which occurs due to haematogenous spread of the bacilli. She had disseminated disease involving the spinal column with associated psoas abscess. A thorough evaluation was done for immune-deficiency workup but was all negative. She was given antitubercular therapy and showed a good response to therapy at a follow-up of 1 month.

  • skin
  • TB and other respiratory infections

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  • Contributors SM and NS were the primary physicians looking after the patient and were responsible for collection of data and writing of the case report. AK and NW proof-read the report and gave expert advice.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.