Abstract
Body piercing has been practiced for centuries in Asian and African countries as a part of religious and cultural ceremonies. Complications like bleeding, pyogenic bacterial infections like staphylococcal and pseudomonas, viral infections like hepatitis B virus, allergic reactions, scarring, granuloma formation, and sarcoid-like foreign body formation have been reported. Thaipusam is a traditional religious festival observed in Asian countries, commonly in India and Malaysia. During the celebration, devotees allow their bodies to be pierced and decorated with needles, hooks, and skewers (Alagu kuthuthal) on cheeks, tongue, chest, and back, followed by “holy ash” (Vibhuthi). We report a case of cutaneous tuberculosis because of the body piercing during this traditional festival. The patient was started on anti-tubercular therapy, and the lesions disappeared within 2 months of ATT.
Similar content being viewed by others
References
Li G et al (2013) Antimicrobial susceptibility of standard strains of nontuberculous mycobacteria by microplate Alamar Blue assay. PLoS One 8(12):e84065. https://doi.org/10.1371/journal.pone.0084065
Ho CK, Ho MH, Chong LY (2006) Cutaneous tuberculosis in Hong Kong: An update. Hong Kong Med J 12:272
Kim JK, Kim TY, Kim DH, Yoon MS (2010) Three cases of primary inoculation tuberculosis as a result of illegal acupuncture. Ann Dermatol 22(3):341. https://doi.org/10.5021/ad.2010.22.3.341
Ramam M, Rashmi M, Ramesh V (2005) How soon does cutaneous tuberculosis respond to treatment? Implications for a therapeutic test of diagnosis. Int J Dermatol 44:121–124
Wong S, Tang JJ, Thevarajah S, Baba R (2012) Delayed granulomatous reaction after oral piercing during Thaipusam. Ann Dermatol 24(3):355. https://doi.org/10.5021/ad.2012.24.3.355
Afzal A, Nadeem M, Aman S et al (2009) Mycobacterium marinum infection. J Pak Assoc Dermatol 19:48–51
Jain S, Sehgal VN (1998) Inoculation cutaneous tuberculosis. Australas J Dermatol 39(3):183–185. https://doi.org/10.1111/j.1440-0960.1998.tb01279.x
Atypical mycobacterial diseases treatment & management: approach considerations, medical care, surgical care, 2021. Accessed: Oct. 05, 2021. [Online]. Available: https://emedicine.medscape.com/article/1105570-treatment#d7
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Subramaniyan S, Dutta, S., Jain, A. et al. Skin Tuberculosis: the Perils of Skin Piercing Tradition in Southern India. Indian J Surg 85, 1478–1481 (2023). https://doi.org/10.1007/s12262-023-03737-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-023-03737-9