TY - JOUR
T1 - Case Report: Multifocal Tubercular Osteomyelitis of the Spine and Bilateral Dactylitis
AU - Taccari, Francesco
AU - Baldin, Gianmaria
AU - Emiliozzi, Arianna
AU - Campana, Lara
AU - Tamburrini, Enrica
AU - Leone, Edoardo
AU - Delogu, Giovanni
AU - Sali, Michela
AU - Cauda, Roberto
AU - Leone, Antonio
AU - Leone, Antonio
AU - Pallavicini, Federico
PY - 2019
Y1 - 2019
N2 - Abstract
We report a case of a 13-year-old immunocompetent male with multifocal tubercular osteomyelitis involving several spinal segments, small bones of the hands, and the scalp, who started with progressively back pain and enlarging painful swelling on the palms of hands, fatigue, and irregular fever. All the hand lesions were firm, mildly tender, and covered by ulcerated skin with serous discharge from the site. Magnetic resonance showed lesions of the right fifth metacarpal, of the right intermediate phalanx of the fourth finger, of the left second metacarpal, and of most vertebral bodies of the cervical, dorsal, lumbar, and sacral spine. The nucleic acid amplification test and the final culture from the drainage of the hands' lesion were positive for Mycobacterium tuberculosis. The patient received a standard antitubercular treatment for 12 months with clinical improvement.
AB - Abstract
We report a case of a 13-year-old immunocompetent male with multifocal tubercular osteomyelitis involving several spinal segments, small bones of the hands, and the scalp, who started with progressively back pain and enlarging painful swelling on the palms of hands, fatigue, and irregular fever. All the hand lesions were firm, mildly tender, and covered by ulcerated skin with serous discharge from the site. Magnetic resonance showed lesions of the right fifth metacarpal, of the right intermediate phalanx of the fourth finger, of the left second metacarpal, and of most vertebral bodies of the cervical, dorsal, lumbar, and sacral spine. The nucleic acid amplification test and the final culture from the drainage of the hands' lesion were positive for Mycobacterium tuberculosis. The patient received a standard antitubercular treatment for 12 months with clinical improvement.
KW - osteomyelitis
KW - osteomyelitis
UR - http://hdl.handle.net/10807/148178
U2 - 10.4269/ajtmh.19-0262
DO - 10.4269/ajtmh.19-0262
M3 - Article
SN - 1476-1645
VL - 101
SP - 494
EP - 497
JO - THE AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
JF - THE AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
ER -