[Digital tuberculous revealed by trauma].
Tuberculous dactylitis is an uncommon condition which is particularly difficult to differentiate from other lesions, particularly tumors. Diagnosis must be confirmed by histology and/or bacteriology studies. We report the case of a 64-year-old diabetic woman who consulted for a painful tumefaction on her fourth finger of the left hand which had developed after minimal trauma. The x-ray of the hand visualized multiple bony defects involving the second phalanx of the fourth finger and a fracture. Pathology examination of a biopsy specimen revealed granulomatous osteitis with typical caseous necrosis. The clinical signs and radiographic images resolved after anti-tuberculosis treatment.
Ben Brahim
E
E
Service d'Anatomie et de Cytologie Pathologiques, Hôpital Mohamed-Tahar-Mâamouri, Nebeul, Tunisie. ehsen@planet.tn
Abdelmoula
S
S
Ben Salah
B
B
Kilani
F
F
Chatti Dey
S
S
D000995:Antitubercular Agents / Q000627:therapeutic use; D001706:Biopsy; D048909:Diabetes Complications; D003937:Diagnosis, Differential; D005260:Female; D005383:Finger Injuries / Q000382:microbiology*; D050723:Fractures, Bone / Q000382:microbiology*; D006801:Humans; D008875:Middle Aged; D010020:Osteonecrosis / Q000382:microbiology; D014394:Tuberculosis, Osteoarticular / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy
D000995:Antitubercular Agents