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An Outbreak of Tuberculosis among Hospital Personnel Caring for a Patient with a Skin Ulcer

Mark W. Frampton, MD
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Requests for Reprints: Mark W. Frampton, MD, Pulmonary Unit, Box 692, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester NY 14642-8692.

Current Author Address: Dr. Frampton: Pulmonary Unit, Box 692, University of Rochester Medical Center, 601 Elmwood Avenue 14692-8692.

Ann Intern Med. 1992;117(4):312-313. doi:10.7326/0003-4819-117-4-312
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This excerpt has been provided in the absence of an abstract.

Hospital personnel are at risk for acquiring tuberculosis through exposure to patients with active pulmonary disease (1). Although extrapulmonary disease is rarely considered contagious, an increasing proportion of cases of tuberculosis are extrapulmonary, and the diagnosis of patients in such cases is often delayed (2). Extrapulmonary tuberculosis can also pose a serious risk for hospital personnel.

Case Report: An 84-year-old woman was hospitalized after complaining of shortness of breath and leg pain. Two weeks before admission, she had noted a tender "red spot" on her left upper thigh. Examination showed a 5-cm, weeping, erythematous lesion on the left upper thigh.


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