Tuberculous dactylitis

Case contributed by Dr Mark Holland

Presentation

Immigrant with contact with TB 2 years prior to increasing swelling of the middle finger

Patient Data

Gender: Male
X-ray

Poorly defined lytic change with medullary expansion, cortical erosion and mild periosteal reaction in the mid and distal aspect of the right middle finger in a patient with TB dactylitis.

Case Discussion

Unusual case of tuberculous dactylitis in an adult. Spread to the bone occurs  via the lymphohaematogenous route but becomes symptomatic within 1–3 years after the initial.

85% of cases occur in children younger than 6 years of age. Its incidence among children with TB is 0.65–6.9%. It is more frequent in male adult patients 3 : 1

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Case information

rID: 16837
Case created: 24th Feb 2012
Last edited: 18th Mar 2016
Inclusion in quiz mode: Included

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