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Tuberculosis Dactylitis in a Patient With Rheumatoid Arthritis: A Case Report.
Cureus
November 2024
Plastic and Reconstructive Surgery, Hospital de Santa Maria, Unidade Local de Saúde Santa Maria (ULSSM), Lisbon, PRT.
Tuberculosis (TB) dactylitis of the hand is a rare and challenging pathology, requiring positive bacterial identification through culture or biopsy for diagnosis. Treatment is also challenging, although it typically yields an excellent response to long-term tuberculostatic therapy. We describe a case of osteoarticular tuberculous dactylitis in a 36-year-old woman with rheumatoid arthritis (RA) and a history of lymphoma.
View Article and Find Full Text PDFTubercular 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.
Left Middle Phalanx Tuberculous Dactylitis Masquerading as a Tumor: First Case Report in Saudi Arabia.
Plast Reconstr Surg Glob Open
September 2024
Consultant Orthopaedic and Trauma Surgery, Saudi German Hospital, Jeddah, Saudi Arabia.
Article Synopsis
- Tuberculous dactylitis is a rare form of tuberculosis affecting bones, often misdiagnosed due to symptoms that mimic other conditions.
- A 15-year-old male experienced worsening pain and swelling in his left index finger over a year, leading to complications later identified as tuberculosis after an unexpected biopsy result.
- The patient improved significantly after surgery and antituberculosis treatment, emphasizing the importance of timely diagnosis and intervention for better outcomes.
Article 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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