Primary Tuberculosis of the Cuboid and Fifth Metatarsal Without Pulmonary Involvement: A Rare Case Report

Mycobacterium tuberculosis is a significant issue in endemic countries. The most common manifestation of skeletal tuberculosis in children is spondylitis, also known as Pott disease, but it may rarely involve small bones. Usually, a pulmonary focus is present from where the bacteria reach the extremities, but an isolated tuberculous involvement of the left index finger in a child without any pulmonary seeding is rare. It is a challenging diagnosis due to a lack of awareness among primary care physicians, the paucibacillary nature of the disease, and overlapping clinical features with other musculoskeletal disorders. A 13-year-old girl was brought in with complaints of pain, swelling, and discharging sinuses from her left index finger. A diagnosis was achieved after a histopathological correlation of clinical and radiological findings. She was started on anti-tubercular treatment for 12 months.

“…In impoverished nations, tuberculosis is common [1]. Only 10-15% of cases of tuberculosis are extrapulmonary, making it relatively uncommon [6].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Yadav,

Rawal,

Jeyaraman

2023

“…Tuberculosis is a major public health concern in endemic nations [1]. Mycobacterium tuberculosis, an acidfast bacillus that belongs to the Mycobacteriaceae family, is the underlying cause of the disease [2].…”

Section: Introductionmentioning

confidence: 99%

Primary Rifampicin Mono-Resistant Extrapulmonary Tuberculosis of the Scapula With Cold Abscesses: A Report of a Rare Case

Yadav

2024

Self Cite

Extrapulmonary tuberculosis is rare. Tuberculous involvement of the scapula is an infrequently reported entity. Such cases are exceptionally rare, as there is no documented case of an isolated primary rifampicin mono-resistant extrapulmonary tuberculosis of the scapula with cold abscesses in the medical literature. This case report features a 25-year-old Indian male patient whose main complaint was a painful swelling with a discharging sinus in his left shoulder that limited his range of motion. A thorough blood workup, clinical assessment, and scans led to a definitive diagnosis. The patient was commenced on antituberculous therapy.

“…Tuberculosis poses a significant public health challenge in developing nations [1]. Rifampicin monoresistant tuberculosis is a type of tuberculosis where the bacteria are resistant to rifampicin.…”

Section: Introductionmentioning

confidence: 99%

Primary Rifampicin Mono-Resistant Extrapulmonary Tuberculosis Presenting as a Posterior Chest Wall Abscess: The World’s First Case

Yadav

2023

Self Cite

Extrapulmonary tuberculosis is a relatively infrequent occurrence. Tubercular involvement of the chest wall is rare. There has never been a record of an isolated primary rifampicin mono-resistant extrapulmonary tuberculosis presenting as a posterior chest wall abscess in the medical literature, making such cases extremely uncommon. In this case report, a 17-year-old Indian male is presented who reported chief complaints of a painless swelling in the posterior chest wall. A comprehensive lab workup ultimately resulted in a conclusive diagnosis. Following the national guidelines, the patient was started on an antitubercular treatment.