RESEARCH ARTICLE


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



Ranadeb Bandyopadhyay*, 1, Arindam Mukherjee1, Rajib Kumar Mondal2
1 Department of Orthopaedics, Bankura Sammilani Medical College, Gobindanagar, P.O. Kenduadihi, Bankura, Pin - 722102, India
2 Departmentof Pathology, Bankura Sammilani Medical College, Gobindanagar, P.O. Kenduadihi, Bankura, Pin - 722102, India


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© Bandyopadhyay et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Orthopaedics, Bankura Sammilani Medical College, Gobindanagar, P.O. Kenduadihi, Bankura, Pin – 722102, India; Tel: +919434479225: E-mail: ranadeb.b@rediffmail.com


Abstract

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.

Keywords: Tuberculous dactylitis, tuberculous granuloma, spina ventosa, spindle shaped expansion.