Tubercular dactylitis with deformity ipsilateral involvement of hand and foot in an adult: a case report

Anil Kumar, Shashank Agarwal


Tubercular dactylitis is a rare entity and usually involves bones of hands and feet, involvement of feet is less common. Here we report case of 18 years old female with neglected tubercular involvement of her left thumb and left great toe of foot with hallux varus deformity. Her diagnosis was delayed as she did not seek any healthcare advice for a long time and also lack of suspicion of entity. This entity which should be kept in mind when making differential diagnosis that can be treated conservatively when diagnosed early.


Tuberculosis, Dactylitis, Hallux varus

Full Text:



Linnaeus Carl, Vastgota Resa Ar 1746. Stockholm: Wahlstrom and Widstrand; 1978: 131.

Salimpour R, Salimpour P. Picture of the month. Tuberculous dactylitis. Arch Paediatr Adolesc Med. 1997;151(8):851-2.

Fairag R, Hamdi A. Tuberculous Dactylitis: Case Presentation and Functional outcome. J Orthop Case Rep. 2016;6(3):22-4.

Hardcastle P, Taleb F, Vlok AJ. Tuberculosis of the skull with associated cranio-cervical subluxation. SA Orthop J. 2011;10(3):90-2.

Ali R, Jalil A, Qureshi A. Extra spinal osteoarticular tuberculosis: a case series of 66 patients from a tertiary care hospital in Karachi. J Pak Med Assoc. 2012;62(10):1344-8.

Kotwal PP, Khan SA. Tuberculosis of the hand: clinical presentation and functional outcome in 32 patients. J Bone Joint Surg Br. 2009;91(8):1054-7.

Maruschke L, Baumann T, Zajonc H, Herget G, Monostotic fibrous dysplasia of the middle phalanx of the hand. J Med Cases. 2013;4(5):318-22.

Agarwal S, Caplivski D, Bottone EJ. Disseminated tuberculosis presenting with finger swelling in a patient with tuberculous osteomyelitis: a case report. Annals Clin Microbiology Antimicrobials. 2005;4:18.

Index-TB Guidelines: Guidelines on extrapulmonary tuberculosis for India. Available at: Accessed on 26 December 2016.

Subasi M, Bukte Y, Kapukaya A, Gurkan F. Tuberculosis of the metacarpals and phalanges of the hand. Ann Plast Surg. 2004;53:469-72.