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Updated: Sep 1, 2025

The MODS method for diagnosis of tuberculosis and multidrug resistant tuberculosis
Published on: August 11, 2008
Diagnostic Challenges of Metacarpal Tuberculosis in Paediatrics: A Case Report
Jansen Lee1,2, Glen Purnomo3, Arie Kurniasih1
1Awal Bros A. Yani Hospital, Pekanbaru, Indonesia.
Abstract:
Metacarpal tuberculosis is rare even in endemic areas. This is a report of a 12-year-old girl with gradual, painless swelling of the dorsal aspect of the right hand over a 2-year period. She developed a discharging sinus over the mass after a traumatic incident. The radiographs showed a well-defined, expansile osteolytic lesion. Blood test, fine needle aspiration biopsy and smears were not diagnostic. A second histologic examination with phenotypic test was required for diagnosis and to begin appropriate chemotherapy. Establishing the diagnosis was not straightforward, even though we suspected tuberculosis. Level of Evidence: Level V (Therapeutic).
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