Tuberculosis dactylis: a case report

• Published in: Chirurgie de la main Vol. 27; no. 1; pp. 43 - 46
• Main Authors: Ngom, G, Diémé, C, Fall, I, Ndoye, M
• Format: Journal Article
• Language: French
• Published: France 01-02-2008
• Subjects: Antibiotics, Antitubercular - administration & dosage; Antibiotics, Antitubercular - therapeutic use; Antitubercular Agents - administration & dosage; Antitubercular Agents - therapeutic use; Biopsy; Child; Drug Therapy, Combination; Ethambutol - administration & dosage; Ethambutol - therapeutic use; Female; Fingers - diagnostic imaging; Fingers - pathology; Humans; Isoniazid - administration & dosage; Isoniazid - therapeutic use; Pyrazinamide - administration & dosage; Pyrazinamide - therapeutic use; Radiography; Rifampin - administration & dosage; Rifampin - therapeutic use; Time Factors; Treatment Outcome; Tuberculin Test; Tuberculosis, Osteoarticular - diagnosis; Tuberculosis, Osteoarticular - diagnostic imaging; Tuberculosis, Osteoarticular - drug therapy; Tuberculosis, Osteoarticular - pathology
• ISSN: 1297-3203
• DOI: 10.1016/j.main.2007.12.002

Tuberculosis dactylis is exceptional. We report one case in an 11 years old girl.
N.D., 11 years old, was admitted for a right hand second finger tumour evolving since six months and linked to a trauma. Clinical examination founded a painful fusiform of the right second finger with limited movements of the finger. The hand radiography showed a second phalange osteitis of the finger without periosteitis reaction. The sedimentation rate was accelerated to 130 mm at the first hour. The intracutaneous reaction with tuberculin was positive to 19 mm. In her preceding, her mother would have suffered from pulmonary tuberculosis two years before incompletely treated during eight months. Histological examination showed a caseous necrosis and an epithelial giant cellular follicle. A twelve months antituberculosis polychimiotherapy permitted a healing without sequelae.
Tuberculosis dactylis has to be evoked with epidemiological, clinical, radiological and immunological arguments. The antituberculosis treatment permitted to do the retrospective diagnosis and to get a healing.