Abstract

Tuberculosis is a multisystemic disease with varied presentations.We report a case of Tuberculous gumma masquerading as mycetoma foot in a child. A nine year old malnourished boy, who was diagnosed and treated as mycetoma foot, was reevaluated in view of persisting skin lesions. Tissue biopsy histopathology was suggestive of tuberculoid granuloma. Mycobacterium tuberculosis was isolated in tissue biopsy culture. He also had underlying dissemination with meningeal involvement. The unusual presentation and the importance of screening for underlying dissemination in children diagnosed to have cutaneous tuberculosis will be discussed.

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