Volume 32, Issue 5 (August 2021)
Studies in Medical Sciences 2021, 32(5): 329-334 |
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Mardanpour K, Rahbar M. TUBERCULOUS OSTEOMYELITIS IN THUMB: A RARE CASE. Studies in Medical Sciences 2021; 32 (5) :329-334
URL: http://umj.umsu.ac.ir/article-1-5380-en.html
URL: http://umj.umsu.ac.ir/article-1-5380-en.html
Associate Professor, Department of Pathology, Iran University of Medical Sciences, Tehran, Iran (Corresponding Author) , rahbarahbar@
Abstract: (2327 Views)
Although tuberculous osteomyelitis is rare in the general population, it should still be considered as a threat to human health. A 52-year-old woman acutely develops a progressively painful swelling on the tip of her right thumb. On laboratory examination, there is no abnormality except for a slight increase in acute phase inflammatory tests (ESR and CRP). A right-hand x-ray showed an expansile lytic lesion. Microscopic examination revealed tuberculosis granuloma. Anti-tuberculous chemotherapy started for two months with a regimen composed of isoniazid, rifampicin, pyrazinamide, and ethambutol and then followed by a ten month regimen consisting of isoniazid and rifampicin. Bone tuberculosis should always be considered by physicians, as early diagnosis and treatment will prevent additional serious complications of the disease.
Type of Study: case report |
Subject:
Orthopedic
References
1. Ataey A, Jafarvand E. Epidemiology and Trend of Tuberculosis mortality in Iran. J Sabzevar Univ Med Sci 2019; 25(6): 773-80. [Google Scholar]
2. Ramos RF, Cancian L, Calcagnotto F, Zeni R, Varela G, Burgues T, et al. Synovial tuberculosis of the hand: An ancient disease in an unusual localisation. Indian JPlast Surg 2017;50(2):130-7. [DOI:10.4103/ijps.IJPS_73_17] [PMID] [PMCID]
3. Ostrowska M, Gietka J, Nesteruk T, Piliszek A, Walecki J. Shoulder joint tuberculosis. Pol J Radiol 2012; 77:55-9. [DOI:10.12659/PJR.883630] [PMID] [PMCID]
4. Seung OP, Sulaiman W. Osteoarticular tuberculosis mimicking rheumatoid arthritis. Mod Rheumatol 2012;22:931-3. [DOI:10.3109/s10165-012-0605-1]
5. Aboudola S, Sienko A, Carey RB, Johnson S. Tuberculous tenosynovitis. Hum Pathol 2004;35:1044-6. [DOI:10.1016/j.humpath.2004.04.005] [PMID]
6. Jagtap SA, Sonawane DV, Saraogi AA. Isolated tuberculosis of scapula in a young adult. Int J Mycobacteriol 2013;2:114-7. [DOI:10.1016/j.ijmyco.2013.03.004] [PMID]
7. Kwan CK, Ernst JD. HIV and tuberculosis: A deadly human syndemic. Clin Microbiol Rev 2011;24:351-76. [DOI:10.1128/CMR.00042-10] [PMID] [PMCID]
8. Moradi M. Extrapulmonary tuberculosis, 146 cases study. Journal of Medical Council of Iran 2000; 18 (4):283-7. [URL]
9. Kadu VV, Saindane KA, Godghate N, Godghate NN. Tuberculosis of Calcaneum - A Rare presentation. J Orthop Case Rep 2016; 6(1):61-2. [PMID] [PMCID]
10. Pang Y, An J, Shu W, Huo F, Chu N, Gao M, et al. Epidemiology of Extrapulmonary Tuberculosis among Inpatients, China, 2008-2017. Emerg Infect Dis 2019; 25(3):457-64. [DOI:10.3201/eid2503.180572] [PMID] [PMCID]
11. Johansen IS, Nielsen SL, Hove M, Kehrer M, Shakar S, Wøyen AV, et al. Characteristics and Clinical Outcome of Bone and Joint Tuberculosis From 1994 to 2011: A Retrospective Register-based Study in Denmark. Clin Infect Dis 2015; 61(4):554-62. [DOI:10.1093/cid/civ326] [PMID]
12. Vohra R, Kang HS, Dogra S, Saggar RR, Sharma R. Tuberculous osteomyelitis. J Bone Joint Surg Br 1997; 79(4):562-6. [DOI:10.1302/0301-620X.79B4.0790562] [PMID]
13. Brazille P, Timsit MA, Quillard A, Dryll A, Laredo JD. Tuberculous dactylitis of a single phalanx. Rev Rhum Engl Ed 1998; 65(7-9):511-2. [PMID]
14. Abdelwahab IF, Lewis MM, Klein MJ, Hermann G. Case report 528: Tuberculous dactylitis (right great toe). Skeletal Radiol 1989; 18(2):133-5. [DOI:10.1007/BF00350663] [PMID]
15. Jensen CM, Jensen CH, Paerregaard A. A diagnostic problem in tuberculous dactylitis. J Hand Surg Br 1991; 16(2):202-3. [DOI:10.1016/0266-7681(91)90177-P]
16. Leung PC. Tuberculosis of the hand. Hand 1978; 10(3):285-91. [DOI:10.1016/S0072-968X(78)80052-7]
17. Sunderamoorthy D, Gupta V, Bleetman A. TB or not TB: an unusual sore finger. Emerg Med J 2001; 18(6):490-1. [DOI:10.1136/emj.18.6.490] [PMID] [PMCID]
18. Sotgiu G, Centis R, D'ambrosio L, Migliori GB. Tuberculosis treatment and drug regimens. Cold Spring Harb Perspect Med 2015; 5(5):a017822. [DOI:10.1101/cshperspect.a017822] [PMID] [PMCID]
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