{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T09:11:28Z","timestamp":1790241088678,"version":"4.1.0"},"reference-count":8,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:00:00Z","timestamp":1760400000000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Metastatic tuberculous abscesses are a rare but clinically significant manifestation of tuberculosis. Cutaneous tuberculosis accounts for just 1%\u20132% of extrapulmonary cases, with cold abscesses being one possible skin manifestation. Skin lesions are most commonly acquired through hematogenous dissemination from distant foci of infection, particularly in immunocompromised individuals. We describe an unusual case of disseminated tuberculosis in a young, immunocompetent adult, initially presenting with cutaneous abscesses and weight loss, with an absence of typical TB symptoms. The patient was treated and closely followed by the county TB program. This case underscores the importance of considering tuberculosis in the differential diagnosis of widespread abscesses, even in immunocompetent patients, and highlights that pulmonary symptoms may be absent despite extensive pulmonary disease.<\/jats:p>","DOI":"10.1002\/ccr3.71022","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T04:52:53Z","timestamp":1760503973000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Metastatic Cutaneous Abscesses as Initial Presentation of Tuberculosis in an Immunocompetent Patient"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0586-4441","authenticated-orcid":false,"given":"Reshma","family":"Modi","sequence":"first","affiliation":[{"name":"Cooper Medical School of Rowan University  Camden New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garrett","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Cooper University Hospital  Camden New\u00a0Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Garcia","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Cooper University Hospital  Camden New\u00a0Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,14]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Tuberculosis","author":"World Health Organization","year":"2025"},{"key":"e_1_2_12_3_1","volume-title":"StatPearls [Internet]","author":"Charifa A.","year":"2025"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1806\u201037132015000004388"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.idcr.2021.e01257"},{"issue":"10","key":"e_1_2_12_6_1","first-page":"19","article-title":"Cutaneous Tuberculosis: A Practical Case Report and Review for the Dermatologist","volume":"2","author":"Frankel A.","year":"2009","journal-title":"Journal of Clinical and Aesthetic Dermatology"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.64138"},{"issue":"9","key":"e_1_2_12_8_1","first-page":"42","article-title":"Extensive Multisystemic Disseminated Tuberculosis in an Immunocompetent Patient","volume":"11","author":"Kaur A.","year":"2018","journal-title":"Journal of Clinical and Aesthetic Dermatology"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.2174\/1871526522666220921123920"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71022","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.71022","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T08:50:36Z","timestamp":1790239836000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.71022"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":8,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1002\/ccr3.71022"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.71022","archive":["Portico"],"relation":{"has-preprint":[{"id-type":"doi","id":"10.22541\/au.174894890.08635145\/v1","asserted-by":"object"}]},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2025-05-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71022"}}