Case Report: “Spina Ventosa” Tuberculous Dactylitis in a 2 Year Old Boy - A Very Rare Disease

Department of Orthopaedics, Bankura Sammilani Medical College, Gobindanagar, P.O. Kenduadihi, Bankura, Pin - 722102, India.
The Open Orthopaedics Journal 03/2012; 6(1):118-20. DOI: 10.2174/1874325001206010118
Source: PubMed


Tuberculous infection of metacarpals, metatarsals and phalanges is known as tuberculous dactylitis. There is a spindle shaped expansion of the short tubular bones due to tuberculous granuloma. Hence it is also known as spina ventosa. In our case, a two year old boy with a swelling in the metacarpal was provisionally diagnosed as enchondromata while the possibility of spina ventosa was kept in mind. He was posted for excision of the metacarpal followed by bone grafting. Histopathological examination report confirmed it as spina ventosa.

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Available from: Rajib Kumar Mondal, Jan 10, 2016
    • "Differential diagnosis worth considering in such cases includes pyogenic osteomyelitis, Brodie's abscess, Atypical mycobacterial infection (due to mycobacterium scrofulaceum and M. avium-intracellulare), Actinomycosis or other deep mycosis (Sporotrichosis, Botryomycosis, Nocardiosis etc), Kaposi's sarcoma and luetic dactylitis.[13] There is recent published report of diagnostic dilemma and radical excision of such lesion as tumor in a young 2-year-old child.[14] Presence of draining sinus in the tuberculous osteomyelitis may hinder its distinction from pyogenic disease. "
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