PERFIL EPIDEMIOLÓGICO DA TUBERCULOSE CUTÂNEA NO MATO GROSO DO SUL 2007-2021

Abstract

Cutaneous tuberculosis is caused by infection with the Mycobacterium tuberculosis bacillus and is part of the group of lesions called extrapulmonary tuberculosis. The disease manifests itself in a wide variety of clinical presentations on the skin and mucous membranes. Cutaneous tuberculosis represents approximately 1% of Mycobacterium tuberculosis infections and occurs worldwide. Is characterized by acute or chronic situations, difficult to diagnose. The present study evaluates data on cases of cutaneous tuberculosis in Mato Grosso do Sul (MS) state, in Brazil, reported from january 2007 to december 2021, registered in the brazilian notifiable diseases information system database, called SINAN. Twenty-nine cases of cutaneous extrapulmonary tuberculosis were reported in the period, in the region, with the highest percentage of notification in the year 2007. The three cities with the highest percentage of case notification were Campo Grande, Dourados and Corumbá and the age of the patients varied between 24 and 75 years old, with an average of 50.21 years. Most cases occurred in white or mixed-race men. Chest radiography was normal in most cases and no member had a positive sputum smear test for M. tuberculosis. Evaluation by histopathological examination of the skin was carried out in 13 cases, being positive for acid-resistant bacillus in four cases and suggestive of tuberculosis in 13. In the evaluation of contacts, 44.8% of patients didn't have contacts and 27.6% of cases had four contacts. When present, the most common comorbidities were HIV infection, alcoholism, diabetes mellitus and mental illness.