Case Report: Multifocal Tubercular Osteomyelitis of the Spine and Bilateral Dactylitis

Francesco Taccari, Gianmaria Baldin, Arianna Emiliozzi, Lara Campana, Enrica Tamburrini, Edoardo Leone, Giovanni Delogu, Michela Sali, Roberto Cauda, Antonio Leone, Federico Pallavicini

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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.

Original languageEnglish
Pages (from-to)494-497
Number of pages4
JournalThe American journal of tropical medicine and hygiene
Volume101
Issue number3
DOIs
Publication statusPublished - Sep 2019

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    Taccari, F., Baldin, G., Emiliozzi, A., Campana, L., Tamburrini, E., Leone, E., Delogu, G., Sali, M., Cauda, R., Leone, A., & Pallavicini, F. (2019). Case Report: Multifocal Tubercular Osteomyelitis of the Spine and Bilateral Dactylitis. The American journal of tropical medicine and hygiene, 101(3), 494-497. https://doi.org/10.4269/ajtmh.19-0262