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[Tuberculosis of finger bones: three cases]
C Loussaief1, F Ammari, A Toumi
1Service des maladies infectieuses, EPS Fattouma Bourguiba, 5016 Monastir, Tunisie. loussaief10@yahoo.fr
La Revue De Medecine Interne
|May 10, 2011
Summary
Tuberculous dactylitis is a rare condition affecting the fingers or toes. Early diagnosis and treatment are crucial, though permanent hand disability can occur even with favorable outcomes.
Area of Science:
- Infectious Diseases
- Rheumatology
- Orthopedics
Background:
- Tuberculosis dactylitis is an uncommon manifestation of tuberculosis.
- It primarily affects the phalanges and metacarpals/metatarsals.
- Diagnosis can be challenging due to its insidious onset.
Observation:
- Three cases of tuberculous dactylitis in women aged 51, 44, and 62 are presented.
- Patients exhibited chronic and subtle clinical symptoms.
- Histological examination confirmed the diagnosis.
Findings:
- The disease responded well to standard antituberculosis therapy.
- Despite treatment, two patients experienced irreversible hand deformities.
- The condition was observed in an area endemic for tuberculosis.
Implications:
- Highlights the importance of considering tuberculosis dactylitis in endemic regions.
- Emphasizes the need for prompt diagnosis and treatment to potentially mitigate long-term disability.
- Suggests that even with effective treatment, functional impairment may persist.
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