Published: 2017-04-25

Tubercular dactylitis in a 65 year old female: a rare case report

Sudhir Shyam Kushwaha, Garima Maurya, Kumar Shantanu, Deepak Kumar


Tubercular dactylitis is defined as tubercular infection of the metacarpals, metatarsals and phalanges. It is a rare form of extra pulmonary tuberculosis. Bones of the hand are more commonly affected than the bones of the feet. Tubercular dactylitis is common in children and children below 6 year of age accounts for 85% of cases. The diagnosis is usually by a combination of clinical suspicion coupled with radiological investigation and confirmation by biopsy. We hereby present a case report of tubercular dactylitis in a 65 year old female which was treated by antitubercular therapy.


Tubercular dactylitis, Antitubercular therapy, Osteoarticular tuberculosis

Full Text:



Tuli SM. Tuberculosis of the skeletal system (bones, joints, spine and bursal sheaths). 3rd Edition, New Delhi, Jaypee Brothers Medical Publisher, 2004.

Pearlman HS, Warren RF. Tuberculous dactylitis. Am J Surg. 1961;101:769–71.

Andronikou S, Smith B. Spina ventosa, tuberculous dactylitis. Arch Dis Child. 2002;86(3):206.

Robins, RH. Tuberculosis of the wrist and hand. Br J Surg. 1967;54:211-8.

Komins C. Multiple cystic tuberculosis: A review and a revised nomenclature. Br J Radiol. 1952;25:1-8.

Andronikou S, Smith B. Spina ventosa tuberculous dactylitis. Arch Dis Child. 2002;86:206.

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

Dhillon MS, Sharma S, Gill SS, Nagi ON. Tuberculosis of bones and joints of the foot: an analysis of 22 cases. Foot Ankle. 1993;14:505-13.

Agarwal A, Qureshi NA, Kumar P, Khan S. Tubercular osteomyelitis of metacarpals and phalanges in children. Hand Surg. 2011;16:19-27.

Kushwaha RA, Kant S, Verma SK, Sanjay, Mehra S. Isolated metacarpal bone tuberculosis-a case report. Lung India. 2008;25:17-9.