PDF(Pubmed)
Abstract：
Tuberculosis inflicting small bones is infrequently reported, even in endemic countries. A case of isolated involvement of the left second metacarpal in an adult Indian male with no pulmonary involvement is rare and has never been documented before in the medical literature. It\'s a diagnostic challenge due to non-specific clinical features, absence of constitutional signs of tuberculosis, ambiguity on radiograph films at early stages, and often results in delayed diagnosis. Moreover, it\'s a paucibacillary disease, and hence, diagnosis can be an arduous task. Herein, a case of a 20-year-old Indian male is presented who came with complaints of pain and swelling with a discharging sinus from the dorsum of his left hand. A detailed evaluation with the isolation of Mycobacterium tuberculosis on a cartridge-based nucleic acid amplification test helped in the diagnosis and initiation of appropriate antituberculous chemotherapy per his weight.
摘要：
很少报道引起小骨头的结核病，即使在流行国家。在没有肺部受累的成年印度男性中，左二掌骨孤立受累的病例很少见，以前从未在医学文献中记录过。由于非特异性临床特征，这是一个诊断挑战，没有结核病的体质体征，早期阶段的X光片含糊不清，并经常导致诊断延迟。此外，这是一种少杆菌病，因此，诊断可能是一项艰巨的任务。在这里，一名20岁的印度男性出现了疼痛和肿胀的抱怨，他的左手背侧有一个鼻窦排出。通过基于药筒的核酸扩增测试对结核分枝杆菌的分离进行详细评估，有助于根据其体重诊断和启动适当的抗结核化疗。
