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Multimodal imaging of Spina Ventosa (TB Dactylitis) of the foot

Authors :
Eoin C. Kavanagh
Hannah Hughes
Mark C. Murphy
Owen J. McEneaney
Conor O'Keane
Alexandra N. Murphy
Source :
Radiology Case Reports, Radiology Case Reports, Vol 15, Iss 8, Pp 1373-1376 (2020)
Publication Year :
2020
Publisher :
Elsevier BV, 2020.

Abstract

We present the case of a 29-year-old male healthcare worker with a 6 month history of progressive left foot pain resulting in presentation to the emergency department on 3 occasions. He denied systemic symptoms. Multimodal imaging demonstrated an expansile erosive inflammatory lesion centered on the neck of the second metatarsal with aggressive features. CT of the thorax, abdomen, and pelvis demonstrated calcified mediastinal lymph nodes and left inguinal adenopathy. The lesion was biopsied under ultrasound guidance demonstrating a necrotizing granulomatous osteomyelitis with acid fact bacilli. This is consistent with TB dactylitis (spina ventosa). Treatment with antimycobacterial drugs was commenced.

Details

ISSN :
19300433
Volume :
15
Database :
OpenAIRE
Journal :
Radiology Case Reports
Accession number :
edsair.doi.dedup.....76bacd9caf25992f6e4f34dedde7e189
Full Text :
https://doi.org/10.1016/j.radcr.2020.05.027