Osteoarticular tuberculosis dactylitis: Four cases

Abstract

Tuberculosis dactylitis is exceptional. We report 4 cases of osteoarticular tuberculous dactylitis in 3 women and 1 man. The diagnosis was suspected on chronic and insidious clinical presentation, and confirmed by histology. Patients were treated by anti-tubercular drugs with good functional and radiological outcome in all cases. Clinical and therapeutic issues are discussed by the authors in the context of an endemic country.

Phalangeal Tuberculosis After Mallet Finger Treatment: A Case Report

“…In the studied patient, chronic pain and swelling of the finger, with no response to the common antibiotics and nonsteroidal anti -inflammatory drugs, can be considered as a helpful sign to aware the surgeon. It has been stated that trauma plays an important role in the reactivation of tuberculosis (7). In the presented patient, trauma of the finger and a history of percutaneous pinning used for fixation of mallet finger can be counted as a reason for mycobacterium tuberculosis infection.…”

“…Although, it is estimated that it affects skeletal system by hematogenous dissemination following to pulmonary involvement or by direct inoculation (6,7). Proximal phalanx of the second and third fingers have been more reported as dactylitis (6,7). Erosion on the joint surface and dactylitis associated with chronic pain and swelling are the main presentations in the fingers tuberculosis infection.…”

“…Histopathological studies can help in diagnosis. Differential diagnosis can have similar involvements including pyogenic osteomyelitis, osteoid osteoma, chondroma, synovitis sarcoidosis, and other granulomatous infections (7). It is probable that in patients with skeletal tuberculosis, concurrent pulmonary symptoms are not observed and merely there is a history of respiratory symptoms in the past.…”

“…Tuberculosis -induced dactylitis should be treated over a long-term, using anti -tuberculosis drugs. Treatment by isoniazid, rifampicin, pyrazinamide, and streptomycin for two months should be continued by using rifampicin and isoniazid for 10 to 14 months (7). According to the studies, skeletal involvement of tuberculosis needs to be treated longer.…”

Tuberculous Dactylitis: An Uncommon Presentation of Skeletal Tuberculosis

“…CT scan features include bony sclerosis and destruction. To evaluate early marrow and soft tissue involvement, MRI is the modality of choice ( 1 , 5 , and 7 ).…”