Disseminated tuberculosis presenting with finger swelling in a patient with tuberculous osteomyelitis: a case report

<p>Abstract</p> <p>Background</p> <p>Extrapulmonary manifestations of tuberculosis have become increasingly important in the era of HIV/AIDS.</p> <p>Case presentation</p> <p>We describe a case of tuberculosis (TB) dactylitis in a patient with AID...

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Bibliographic Details
Main Authors: Caplivski Daniel, Agarwal Shradha, Bottone Edward J
Format: Article
Language:English
Published: BMC 2005-11-01
Series:Annals of Clinical Microbiology and Antimicrobials
Online Access:http://www.ann-clinmicrob.com/content/4/1/18
Description
Summary:<p>Abstract</p> <p>Background</p> <p>Extrapulmonary manifestations of tuberculosis have become increasingly important in the era of HIV/AIDS.</p> <p>Case presentation</p> <p>We describe a case of tuberculosis (TB) dactylitis in a patient with AIDS who originated from the Ivory Coast. The diagnosis was established by direct visualization of acid-fast bacilli on joint fluid and bone biopsy of the proximal phalanx. Imaging of the chest revealed multiple bilateral nodules. Confirmation of the diagnosis was made by isolation of <it>Mycobacterium tuberculosis </it>from sputum and bone cultures.</p> <p>Conclusion</p> <p>Tuberculosis should be considered in patients with unusual soft tissue or skeletal lesions, especially when an immunosuppressive condition is present. Ziehl-Neelsen staining and culture of tissue obtained via surgical biopsy offer the most direct approach to diagnosis.</p>
ISSN:1476-0711