Spina Ventosa of the Left Ring Finger With Tuberculous Pyomyositis in the Forearm Muscles in a Young Immunocompetent Indian Male With No Pulmonary Involvement: A First Report of Its Type.

Autor: Yadav S; Medicine, Shri Madan Lal Khurana Chest Clinic, New Delhi, IND., Jeyaraman M; Orthopedics, South Texas Orthopedic Research Institute, Laredo, USA.; Clinical Research, Virginia Tech India, Dr. MGR Educational and Research Institute, Chennai, IND.; Orthopedics, ACS Medical College and Hospital, Dr. MGR Educational and Research Institute, Chennai, IND., Rawal G; Respiratory Medical Critical Care, Max Super Speciality Hospital, Saket, IND., Jeyaraman N; Orthopedics, ACS Medical College and Hospital, Dr. MGR Educational and Research Institute, Chennai, IND.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Aug 13; Vol. 16 (8), pp. e66823. Date of Electronic Publication: 2024 Aug 13 (Print Publication: 2024).
DOI: 10.7759/cureus.66823
Abstrakt: Tuberculous infection of the extrapulmonary sites, especially the small bones, is a seldom reported entity even in endemic countries. Moreover, simultaneous involvement of the forearm muscles is a very rare presentation with no such case reported showing concurrent involvement of the two sites. The diagnosis is challenging due to the paucibacillary nature of the disease, a lack of awareness among primary clinicians, and ambiguity in clinical features with other musculoskeletal disorders, especially when there is no pulmonary involvement. Herein, we present a first-of-its-type case of spina ventosa of the left ring finger with a tuberculous abscess in the forearm in a 15-year-old Indian male with no pulmonary seeding. The diagnosis was achieved through a detailed diagnostic workup, which resulted in the detection of Mycobacterium tuberculosis . He was initiated on antituberculous treatment with a remarkable improvement.
Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Yadav et al.)
Databáze: MEDLINE