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Medicina y Seguridad del Trabajo
On-line version ISSN 1989-7790Print version ISSN 0465-546X
Abstract
MAESTRE NARANJO, María Ascensión et al. Cutaneous tuberculosis accidental inoculation. Med. segur. trab. [online]. 2009, vol.55, n.216, pp.65-70. ISSN 1989-7790.
Clinical case of a microbiologist with wide experience, which is inoculated accidental when Mycobacterium's pure strain manipulates tuberculosis; it (she) pricks itself in the lateral external face of the phalanx distal of the forefinger, crossing the glove with the contaminated needle. Immediate treatment of the wound. The Service of Prevention, he registers the inoculation as accident of work. To three weeks a slightly painful pápula eritematosa appears in the place of the inoculation to the pressure that is growing until a size reaches 1,5-2 cm., without adenopatías axyllaris, not general clinic. Exéresis and biopsy of the same one, pathological anatomy: chronic inflammation very suggestive granulomatosa tuberculoide of cutaneous tuberculosis, microbiology: doubtful BAAR (Acid bacillus resistant alcohol), I cultivate: positive to Mycobacterium tuberculosis. Both vine-stocks present the same identity. Diagnosis: cutaneous tuberculosis. The occupational risk prevention department realizes the communication of Occupational disease according to the RD 1299/2006, of December 10. Follow-up for Internal Medicine, starting treatment of TB.
Keywords : cutaneous tuberculosis; work accident; occupational disease; healthcare workers.