Tubercular dactylitis in a 65 year old female: a rare case report (original) (raw)
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Journal of Cytology & Histology, 2012
Tubercular dactylitis is an extremely rare entity. To the best of our knowledge, we are reporting for the first time tuberculosis of phalanx along with cutaneous nodule and lymph nodes in an immunocompetent patient even in absence of a detectable primary focus. A 35 year old male presented with a hard swelling in proximal phalanx of left ring finger. He had a cutaneous nodule on right index finger and enlarged epitrochlear and axillary lymph nodes on the ipsilateral side. In X-Ray, a lytic lesion destroying whole proximal phalanx was seen with chest X-Ray being normal. HIV ELISA was negative. Cytology from cutaneous nodule and lymph nodes depicted the picture of a granulomatous lesion. Biopsy, culture of bone tissues and polymerase chain reaction confirmed the lesions to be tubercular. Tubercular dactylitis along with other tubercular lesions is an extremely rare condition and the lesions must be differentiated from other granulomatous conditions to advocate specific therapy.
Tuberculous Dactylitis in the Adult
American Journal of Roentgenology, 1971
phalanges involved among ioo children (i-i6 years) and i metacarpal, i metatarsal and 0 phalanges among ioo adults (16-70 years). SEX AND AGE Most adult series note a male preponderance (3:1 ratio)3'26'29'33 with no prominent ranged from 69 to 85.3 per cent in the first two decades of life, while autopsy series ranged from 49.6 per cent (20-39 years)2 to 79 per cent over age 20.4,8
Multifocal Tubercular Dactylitis in an Adult
JCR: Journal of Clinical Rheumatology, 2002
Musculoskeletal tuberculosis (TB) is a rare manifestation of TB comprising 1%-3% of all cases. We describe a patient who had multiple manifestations of skeletal TB, including spondylitis, dactylitis, and Poncet's disease. The unusual features include multifocal dactylitis, widespread disease in the absence of any risk factor like HIV infection or immunosuppressive treatment, and absence of pulmonary lesion. Treatment with appropriate drugs, using 4 agents for the first 2 months, led to complete recovery. TB can rarely present in an unusual way but is very important to recognize, as with treatment it still carries a good prognosis.
Tuberculous Dactylitis: An Uncommon Presentation of a Common Infection
Case reports in pediatrics, 2016
Tuberculous dactylitis is an unusual form of osteoarticular tuberculosis involving the short tubular bones of hands and feet, which is uncommon beyond six years of age. We report the case of a fifteen-year-old adolescent boy who was diagnosed with tuberculous dactylitis, involving contralateral hand and foot. His diagnosis was delayed due to lack of suspicion of this rare entity. The report also examines the diagnostic difficulties faced by clinicians in arriving at an appropriate diagnosis.
Introduction: Tuberculosis rarely affects the bones of the hand and feet. This entity is described as tubercular dactylitis (TB dactylitis). It affects children. TB dactylitis in an otherwise healthy adult is extremely rare. Case report: We report an extremely rare presentation of TB dactylitis is a 35 year old female patient. She presented to us with pain and swelling of her index finger since a year. A synovial biopsy was taken and diagnosis of TB dactylitis was confirmed. The patient was administered one year of Anti tubercular treatment and was disease free at the end of treatment. Conclusion: TB dactylitis is extremely rare in adults. There are reports in adults with pre-existing conditions such as HIV or other immunosuppressive conditions. It is the recommendation of the authors not to rule out Tubercular dactylitis as a differential when dealing with chronic painful swelling of fingers in adults.
Tuberculous Dactylitis in Adult – A Case Report and Review of Literature
Journal of Orthopaedic Case Reports, 2020
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 abs...
Tuberculous Dactylitis: A Case Series and Review of Literature. , 2014
The literature and statistics on tuberculous dactilitis (TD) are scarce and most literature consists of isolated case reports. The aim of this case series is to examine trends and diagnostic difficulties faced by the clinicians in diagnosing this rare disorder. Google search engine and MEDLINE were searched for key words ‘tuberculous dactylitis’ and ‘spina ventosa’. From all published papers and unpublished reports, 58 cases were extracted and 61 cases, including the three presented by us in this review, were analyzed for a set of 16 parameters. There is re-emergence and increase in the incidence of this form of extra-pulmonary tuberculosis (EPTB) especially in the industrialized countries, which poses a diagnostic challenge to physicians in these countries, as they are not well versed with this entity.