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Disseminated Spina Ventosa in an Immunocompetent Young Girl.
Indian Dermatol Online J
August 2024
Department of Dermatology and Venereology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Tubercular dactylitis/Spina ventosa-A rare skeletal form of extrapulmonary tuberculosis.
QJM
November 2024
Department of Cytology and Gynecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Article Synopsis
- A 9-year-old girl presented with painful swelling in her left index finger, which was punctured, leading to a chronic discharging sinus and other systemic symptoms like lymphadenopathy.
- A Mantoux test confirmed tuberculosis, and a fine aspiration showed signs of inflammation and acid-fast bacilli.
- After being started on a 4-drug antitubercular therapy, she showed significant improvement in pain and swelling within two months, highlighting the condition known as tubercular dactylitis which primarily affects younger children and presents as swelling of tubular bones.
Spina Ventosa of the Left Ring Finger With Tuberculous Pyomyositis in the Forearm Muscles in a Young Immunocompetent Indian Male With No Pulmonary Involvement: A First Report of Its Type.
Cureus
August 2024
Orthopedics, ACS Medical College and Hospital, Dr. MGR Educational and Research Institute, Chennai, IND.
Tuberculous infection of the extrapulmonary sites, especially the small bones, is a seldom reported entity even in endemic countries. Moreover, simultaneous involvement of the forearm muscles is a very rare presentation with no such case reported showing concurrent involvement of the two sites. The diagnosis is challenging due to the paucibacillary nature of the disease, a lack of awareness among primary clinicians, and ambiguity in clinical features with other musculoskeletal disorders, especially when there is no pulmonary involvement.
View Article and Find Full Text PDFArticle Synopsis
- * It emphasizes that extra pulmonary tuberculosis can present in unusual ways, which might lead to misdiagnosis if not considered in the differential diagnosis, especially in the bones of the limbs.
- * The report highlights the need for vigilance among clinicians, as conditions like Enchondromatosis or Chronic pyogenic osteomyelitis can resemble this rare presentation, despite a significant decrease in such cases due to advances in anti-tubercular therapy.
Bilateral tuberculous dactylitis of both hand and feet in a female toddler: a case report on a rare presentation of skeletal tuberculosis in children.
BMC Infect Dis
September 2024
Department of Pediatrics and Child Health, School of Medicine, College of Medicine and Health Science, University of Gondar, Po. Box 196, Gondar, Ethiopia.
Background: Even though tuberculosis is a common disease among children in developing countries, tuberculous dactylitis is an uncommon form of Skeletal tuberculosis specially with involvement of both the hands and feet.
Case Presentation: A one-and-a-half-year-old previously healthy female Ethiopian toddler presented to our pediatric outpatient clinic with a history of two-month duration of painful multiple swellings over both her hands and feet. The swelling involved the proximal phalanx of the left index finger, dorsum of the right hand, and dorsum of both feet over the first metatarsal bone.
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