[Bone tuberculosis of the thumb unmasked by injury].
Tuberculous dactylis is uncommon, which makes it difficult to differentiate from tumorous and metabolic affections. Histological analysis constitutes a reliable and easy way to achieve a positive diagnosis, especially as the bacteriological findings can be negative. We report the case of a 43-year-old woman who consulted for a painful right thumb following an injury. Radiographs showed a fracture of the proximal phalanx through a lytic lesion. Pathology examination of a biopsy specimen revealed granulomata with caseous necrosis, specific to tuberculosis. The clinical signs and radiographs resolved after anti-tuberculosis treatment for 12 months.
Bellarbi
S
S
Service de chirurgie orthopédique et traumatologique, hôpital Ibn-Sina, CHU Rabat-Salé, Maroc.
Belkorchia
E
E
Chiboub
A
A
El Mannouar
M
M
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001706:Biopsy; D005260:Female; D005384:Finger Joint / Q000000981:diagnostic imaging* / Q000473:pathology; D050723:Fractures, Bone / Q000000981:diagnostic imaging* / Q000628:therapy; D006101:Granuloma, Giant Cell / Q000473:pathology; D006801:Humans; D009336:Necrosis; D011859:Radiography; D013933:Thumb / Q000000981:diagnostic imaging / Q000293:injuries*; D014394:Tuberculosis, Osteoarticular / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000473:pathology
D000900:Anti-Bacterial Agents