Primary inoculation tuberculosis of the skin. Prosector's paronychia,

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Abstract
Subsequent to an autopsy of a tuberculotic cadaver, a pathology resident presented with a painless paronychia and axillary adenopathy after surgical incision and broad-spectrum antibiotics failed to improve his condition. Demonstration by culture of Mycobacterium tuberculosis var hominis, positive smears and findings of acid-fast organisms in a skin biopsy specimen proved the diagnosis of tuberculosis. Conversion of a previously negative skin test permitted the diagnosis of primary inoculation tuberculosis of the skin. The disease responded well to treatment with isoniazid, rifampin and pyridoxine hydrochloride.

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