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An Occupational Hazard—Tuberculous ParonychiaReport of a Case
LT Thomas F. O'Donnell, Jr., MC, USNR;
Paul F. Jurgenson, MD;
Noel F. Weyerich, MD
AMA Arch Surg. 1971;103(6):757-758.
Abstract
A 45-year-old practical nurse developed a chronic paronychia, not responsive to customary surgical therapy. The refractory nature of this paronychia and the development of axillary lymphadenopathy dictated the need for biopsy and culture. This procedure subsequently yielded Mycobacterium tuberculosis. Systemic antituberculous chemotherapy resulted in a prompt resolution of the indolent paronychia. This case exemplifies the need for mycobacterial, fungal, or viral studies when confronted with treating the chronic paronychia. In addition, it reemphasizes the frequency with which cutaneous tuberculosis occurs in medical personnel.
Author Affiliations
Beaufort, SC
From the Medical Service, Beaufort (SC) Naval Hospital. Dr. O'Donnell is now with the Harvard Surgical Service, Boston City Hospital, and Dr. Jurgensen is with the University of Florida, Gainesville.
Footnotes
Accepted for publication May 21, 1971.
The views expressed herein are those of the authors and do not necessarily reflect the views of the US Navy.
Reprint requests to Sears Surgical Laboratory, Harvard Surgical Service, Boston City Hospital, 818 Harrison Ave, Boston 02118 (Dr. O'Donnell).
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