Open AccessMultifocal Tubercular Dactylitis: A Rare Presentation of Skeletal Tuberculosis in an Adult
Author(s) -
Pravat Kumar Thatoi,
Manoj Kumar Parida,
Rakesh Barik,
Bidyut Prava Das
Publication year - 2017
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2017/27879.10115
Subject(s) - dactylitis , medicine , tuberculosis , presentation (obstetrics) , dermatology , mycobacterium tuberculosis , numerical digit , surgery , pathology , enthesitis , arithmetic , mathematics , psoriatic arthritis , psoriasis
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.