Multifocal Tubercular Dactylitis: A Rare Presentation of Skeletal Tuberculosis in an Adult
Published: June 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/27879.10115
Pravat Thatoi, Manoj Parida, Rakesh Barik, Bidyut Das
1. Assistant Professor, Department of Medicine, SCB Medical College, Cuttack, Odisha, India.
2. Senior Resident, Department of Medicine, SCB Medical College, Cuttack, Odisha, India.
3. Postgraduate Student, Department of Medicine, SCB Medical College, Cuttack, Odisha, India.
4. Professor, Department of Medicine, SCB Medical College, Cuttack, Odisha, India.
Correspondence
Dr. Pravat Thatoi,
Flat-104, Aryabhatta Complex, College Square, Cuttack-753003, Odisha, India.
E-mail: drpravatthatoi@yahoo.co.in
Tubercular dactylitis is an uncommon form of osteo-articular tuberculosis seen in children. Multifocal involvement, simultaneously involving hands and feet is extremely uncommon. Here we report an adult patient with tubercular dactylitis involving multiple digits of both hands and second digit of right foot in absence of any risk factors like immunodeficiency or any debilitating condition. The patient was successfully treated with anti-tubercular drugs for six months. Mycobacterium tuberculosis infection of bones and joints can present in an unusual way but early diagnosis and treatment caries a good prognosis.
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