Abstract
A Late Presenting Tuberculous Dactylitis Case: Choosing the First Line Medical Treatment or going Ahead with Surgical Debridement?
Highlights
Skeletal Tuberculosis (TB) represents only 1%–5% of all tuberculous infections [1]
The bones of the hands are more affected than the bones of the feet
Tuberculous dactylitis describes the tubercular involvement of phalanges of the hands or feet
Summary
Skeletal Tuberculosis (TB) represents only 1%–5% of all tuberculous infections [1]. The bones of the hands are more affected than the bones of the feet. Anorexia and weight loss are considered as common clinical manifestations [5].The most common sites of infection include proximal phalanx of the index and the middle fingers as well as the metacarpals of the middle and ring fingers Such dactylitis manifests mostly by soft tissue swelling and periostitis. A 5-year-old female was referred to Children medical center Hospital with complaints of progressive enlargement and swelling of the right hand fifth metacarpal bone over two months. She had weight loss and low-grade fever. The Right-hand X-Ray revealed an osteolytic cyst-like lesion of the 5th metacarpal bone with fusiform soft tissue swelling (Figure 3). Our patient is currently being treated with anti-tuberculosis drug and the metacarpophalangeal and interphalangeal Range of motion is shown in (Figure 8)
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