Nov 30, 2008
i am a HIV positive person and i was diagnosticated with cutaneous infection with M. tuberculosis. i want you to tell me if you know how long do i have to take the anti-tb treatment and after how many time that lesions will disappear? my doctor did not knew to answer me at this question
Response from Dr. McGowan
A cutaneous infection (or skin lesion) is not that common a presentation of Mycobacterium tuberculosis infection. Other mycobacterial infections apart from TB are also associated with skin lesions. So, my first suggestion is to re-confirm the diagnosis of tuberculosis. Mycobacterial skin lesions can usually be treated with oral medications. The duration of treatment usually involves months of therapy (rather than days or weeks). The last case of M. tuberculosis skin infection that I saw in a person living with HIV occured a few weeks after he had started HIV medications. His CD4 count was low and his skin infection with TB was in part a reflection that his immune system was recovering (or reconstituting). By the way, he was successfully treated.
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