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Spina ventosa discharging tubercle bacilli--a case report.
P Mishra Gyanshankar1, T M Dhamgaye, B Fuladi Amol
1Department of Chest Medicine, TB Ward Campus, Government Medical College & Hospital, Nagpur, Maharashtra 440003. gyanshankarmishra@rediffmail.com
The Indian Journal of Tuberculosis
|October 9, 2009
Summary
Spina Ventosa, a rare skeletal tuberculosis form, presents as cystic bone expansion. This case highlights a 15-year-old female with a draining sinus on her foot, illustrating this unusual presentation of tuberculosis dactylitis.
Area of Science:
- Orthopedics
- Infectious Diseases
- Radiology
Background:
- Tubercular dactylitis is an uncommon manifestation of skeletal tuberculosis.
- Spina Ventosa, characterized by cystic expansion of short tubular bones, is a specific radiographic descriptor for this condition.
Observation:
- A 15-year-old female presented with a draining sinus on the dorsum of her third left foot digit.
- Clinical presentation suggested an unusual form of skeletal tuberculosis affecting the foot.
Findings:
- The case involved Spina Ventosa, a rare presentation of tuberculosis dactylitis.
- Radiographic findings of cystic bone expansion were consistent with the diagnosis.
Implications:
- This case underscores the importance of considering tuberculosis in the differential diagnosis of bone lesions, even in atypical presentations.
- Early recognition and diagnosis of Spina Ventosa are crucial for effective management of skeletal tuberculosis.
- Further research into the epidemiological and clinical variations of skeletal tuberculosis is warranted.
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