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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.

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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.