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Tubercular dactylitis in children

Balaji Saibaba1, Nirmal Raj Gopinathan, Siva S Santhanam

  • 1aDepartment of Orthopaedics, Post Graduate Medical Education and Research, Chandigarh bDepartment of Orthopaedics, SMS Medical College, Jaipur, India.

Journal of Pediatric Orthopedics. Part B
|July 9, 2016
PubMed

Insights

Tubercular dactylitis, a rare bone tuberculosis form in children, often presents diagnostic challenges. Early identification via imaging and cytology, followed by multidrug therapy, ensures a cure.

Area of Science:

  • Pediatric Orthopedics
  • Infectious Diseases
  • Radiology

Background:

  • Tubercular dactylitis is an uncommon presentation of skeletal tuberculosis in children.
  • Diagnosis is frequently delayed due to subtle local symptoms and absent constitutional signs in pediatric patients.
  • Parental concern typically arises only with significant swelling or tenderness of the digits or hand.

Purpose of the Study:

  • To highlight the diagnostic challenges of tubercular dactylitis in children.
  • To emphasize the importance of early diagnostic methods.
  • To underscore the effectiveness of multidrug antitubercular therapy.

Main Methods:

  • Review of clinical presentations of pediatric tubercular dactylitis.
  • Evaluation of diagnostic utility of radiology and fine-needle aspiration cytology.
  • Assessment of treatment outcomes with multidrug antitubercular therapy.

Main Results:

  • Delayed clinical diagnosis is common in pediatric tubercular dactylitis.
  • Radiology and fine-needle aspiration cytology aid in early diagnosis.
  • Multidrug antitubercular therapy is an effective treatment.

Conclusions:

  • Early diagnosis of tubercular dactylitis in children is crucial.
  • Imaging and cytology are valuable tools for timely diagnosis.
  • Prompt and appropriate multidrug antitubercular therapy leads to a cure.

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