Tuberculous Dactylitis in Adult - A Case Report and Review of Literature

Overview

Journal J Orthop Case Rep

Specialty Orthopedics

Date 2021 Feb 15

PMID 33585321

Citations 5

Authors

Amit Kumar Yadav

Akshay Ks

Shaswat Mishra

Sagar Bansal

Jitsen Manna

Arun Ranjan Napit

Affiliations

Soon will be listed here.

Abstract

Introduction: Tubercular dactylitis is an uncommon form of musculoskeletal tuberculosis (TB), especially after the age of 5 years without any risk factors.

Case Report: A case of 49-year-old male presented with pain, swelling, and discharging sinus of proximal phalanx of third digit of the right hand with no constitutional symptoms for 2 years, with multiple failed treatment in form of antibiotic therapy. There were no risk factors such as immunodeficiency or any co-morbidities. The plain radiograph was suggestive of increased bone density with mild periosteal reaction; magnetic resonance imaging was suggestive of tubercular osteomyelitis. A biopsy was performed, the gene expert of the sample revealed TB with no drug resistance. The patient was managed with anti-tubercular drugs with complete resolution of clinical and radiological symptoms at 1-year follow-up.

Conclusion: TB should be considered a differential in patients with chronic soft-tissue or skeletal lesions even in the absence of the usual risk factors because with treatment it still carries a good prognosis.

Citing Articles

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.

Yadav S, Jeyaraman M, Rawal G, Jeyaraman N Cureus. 2024; 16(8):e66823.

PMID: 39280424 PMC: 11398727. DOI: 10.7759/cureus.66823.

Spina Ventosa of the Left Second Metacarpal in an Adult Indian Male With No Pulmonary Involvement: A First-of-Its-Type Case.

Yadav S Cureus. 2024; 16(4):e58476.

PMID: 38765441 PMC: 11101054. DOI: 10.7759/cureus.58476.

Spina Ventosa of the Thumb With Valgus Deformity in a Female With No Pulmonary Involvement: A First Report of Its Type in an Immunocompetent Adult From India.

Yadav S, Rawal G, Jeyaraman M, Jeyaraman N Cureus. 2024; 16(3):e56129.

PMID: 38618355 PMC: 11015113. DOI: 10.7759/cureus.56129.

Spina Ventosa of the Left Index Finger in an Indian Girl With No Pulmonary Involvement: A Rare Case.

Yadav S, Rawal G, Jeyaraman M Cureus. 2023; 15(8):e44400.

PMID: 37791161 PMC: 10542221. DOI: 10.7759/cureus.44400.

Spina Ventosa of the Right Index Finger in an Adult Indian Female With No Pulmonary Involvement: A Rare Case.

Yadav S, Rawal G, Jeyaraman M Cureus. 2023; 15(8):e42904.

PMID: 37664354 PMC: 10474898. DOI: 10.7759/cureus.42904.

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