Tuberculose cutânea em paciente sem infecção pelo HIV Cutaneous tuberculosis in a patient without HIV-infection

A case of scrofulodermal tuberculosis secondary to a pulmonary tuberculosis focus. Forty-year-old male patient who had two external fi stulas in the right perineal area. The pathological examination of biopsy showed cutaneous tuberculoid granulomas with caseous necrosis, which tested positive for acid-fast bacilli. Direct sputum smear microscopy and chest X-ray showed the lung as the primary site. Specifi c treatment for tuberculosis determined complete regression of skin lesions.