Osteomyelitis - phalanx

Case contributed by Dr Yvette Mellam

Presentation

Elderly patient presents for review of infected finger almost 2 weeks after cutting finger with a kitchen knife.

Patient Data

Age: 90 years
Gender: Female
X-ray

Left index finger

There is prominent bone destruction involving the distal phalanx of the left index finger, particularly the shaft and tuft. There is marked soft tissue swelling.

Multifocal osteoarthritic changes are noted.

Case Discussion

In this clinical context, osteomyelitis is the most likely cause of shaft and tuft destruction of the index finger. This patient went on to have terminalisation of this finger under the orthopedic team.

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Case information

rID: 88245
Published: 22nd Apr 2021
Last edited: 22nd Apr 2021
Inclusion in quiz mode: Included

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