Management of Cutaneous Tuberculosis: A Case Study from a Rural Clinic in Balrampur
Abstract:
Tuberculosis (TB) remains a global health concern, affecting millions annually and resulting in significant mortality. Cutaneous tuberculosis (CTB) is a rare manifestation of mycobacterial infection with diverse presentations, posing diagnostic challenges due to its resemblance to other skin conditions and limited microbiological confirmation. Here, we present a case of CTB encountered at a rural clinic in Balrampur, India, highlighting the diagnostic and treatment journey in resource-limited settings.
A female patient visited the Balrampur clinic on December 29, 2017, presenting with pruritic skin bumps persisting for three years, predominantly on her face, arms, and legs. Despite previous consultations, no definitive diagnosis or biopsy reports were obtained, partly due to limited diagnostic facilities and affordability constraints. Utilizing a homoeopathic approach, treatment was initiated based on symptomatology, supported by photographs and videos documenting the case’s progression from inception.
Over subsequent years, the patient exhibited gradual improvement, with resolution of symptoms observed alongside milestones such as pregnancy and childbirth. The last documented visit to the clinic was on March 9, 2022, wherein the patient showed signs of complete recovery. The absence of subsequent follow-ups suggests successful management, warranting consideration of cure status.
This case underscores the challenges faced in diagnosing and managing CTB in resource-limited settings, where access to diagnostic tools may be restricted. Despite these constraints, a holistic approach guided by symptomatology and supported by clinical documentation can facilitate successful outcomes, emphasizing the importance of tailored, patient-centered care in TB management. Further research and documentation of similar cases are warranted to enhance understanding and management strategies for CTB in diverse healthcare settings.
