Succesful Treatment of Relapse Cutaneous Tuberculosis on Pregnant Woman with

Ethambucol Allergic
Dian Puspitasari1, Jahja Teguh Widjaja2, Wulan Yuwita3, Evelyn Nathania4
1,3
Department of Dermatology & Venereology, Immanuel Hospital, Bandung-Indonesia
2
Department of Pulmonology & Respiratory Medicine, Immanuel Hospital, Bandung-Indonesia
4
Immanuel Hospital, Bandung-Indonesia

Abstract
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Introduction DISCCUSION

Tuberculosis infection is one of the health problems Cutaneous tuberculosis is a rare form of extrapulmonary
in Indonesia and other developing countries. tuberculosis (1-1.5%) and is hard to diagnose and treat,
Infection among pregnant women often reveals especially in pregnant women. Allergic to one of its drugs
can increase its risk of being resistant and increase its
unspecific clinical manifestation, and cutaneous
mortality and morbidity.
tuberculosis is a rare form of extrapulmonary
tuberculosis Conclusion

A prompt treatment is needed for tuberculosis

CASE REPORT
patients, especially pregnant women. Early detection
A Pregnant woman with a gestational age of 6-7 and examinations are required to diagnose it
weeks visited our hospital with major complaints of properly.
red spots on her cheeks; physical examination
revealed plaque with scales, and the patient
underwent a punch biopsy. Histopathology
examination showed unspecific findings; however,
PCR examination revealed Mycobacterium
tuberculosis. About one year ago, the patient
suffered cutaneous tuberculosis and was only treated
with Rifampicin, Isoniazid, and Levofloxacin;
pyrazinamide and ethambutol were not given due to
a strong suspicion of allergy to these drugs. She
suffered a relapse of cutaneous tuberculosis and was
given rifampicin, isoniazid, and pyrazinamide. After
2 weeks the skin lesion improved significantly, and
ethambutol was added to the regimen. The patient
suffered from drug eruption, ethambutol was
discontinued, and the skin lesion disappeared after
Keyword
four months of treatment. We continued the regiment
for one year; she showed better condition and Cutaneous Tuberculosis; Extra Pulmonary Tuberculosis;
delivered a healthy baby boy. Pregnant Woman; Ethambutol Allergy

Acknowledgements
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