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LEE J, PURNOMO G, KURNIASIH A. Diagnostic Challenges of Metacarpal Tuberculosis in Paediatrics: A Case Report. J Hand Surg Asian Pac Vol 2022; 27:717-720. [DOI: 10.1142/s2424835522720328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Metacarpal tuberculosis is rare even in endemic areas. This is a report of a 12-year-old girl with gradual, painless swelling of the dorsal aspect of the right hand over a 2-year period. She developed a discharging sinus over the mass after a traumatic incident. The radiographs showed a well-defined, expansile osteolytic lesion. Blood test, fine needle aspiration biopsy and smears were not diagnostic. A second histologic examination with phenotypic test was required for diagnosis and to begin appropriate chemotherapy. Establishing the diagnosis was not straightforward, even though we suspected tuberculosis. Level of Evidence: Level V (Therapeutic)
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Affiliation(s)
- Jansen LEE
- Awal Bros A. Yani Hospital, Pekanbaru, Indonesia
- Department of Orthopaedic and Traumatology, Faculty of Medicine, University of Prima Indonesia, Medan, Indonesia
| | - Glen PURNOMO
- St. Vincentius a Paulo Catholic Hospital, Surabaya, Indonesia
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Affiliation(s)
- Alex McLaren
- College of Medicine-Phoenix, University of Arizona, Phoenix, Arizona
| | | | - Antonia F Chen
- Brigham and Women's Hospital, Boston, Massachusetts.,Harvard Medical School, Boston, Massachusetts
| | - Sandra B Nelson
- Harvard Medical School, Boston, Massachusetts.,Massachusetts General Hospital, Boston, Massachusetts
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