<p class="abstract">The authors report the exceptional case of isolated muscular tuberculosis affecting the anterior compartment of the right thigh in a 38-year-old man. The diagnosis was based on histology and GeneXpert. The subject received a surgical treatment followed by medical treatment for 6 months. The GeneXpert test has proved to be useful in the diagnosis of muscular tuberculosis. We have not found in the literature the use of GeneXpert in this type of localization of tuberculosis whose diagnostic is not always easy. Through the study of this case and a review of the literature, the authors review the pathogenesis of this particular affection as well as the diagnostic and therapeutic modalities.</p><p class="abstract"> </p>
<p>Bone metastases of the hands and feet (acrometastases) are rare. Their presentation is variable and is generally confused with certain inflammatory conditions such as rheumatoid arthritis, gout, tenosynovitis, fracture or infection (panartius, osteomyelitis). The etiology of non-digital acrometastases is common to primary tumors with bone metastases (prostate, lung, kidney, breast, thyroid, and digestive tube). However, digital acrometastases are seen almost exclusively during bronchial neoplasia. We describe the case of a 43 year-old man admitted for pain and swelling of the middle finger distal phalanx of the left hand. Etiological assessement was in favor of an unusual secondary localization of bronchial adenocarcinoma. Tumoral causes must always be evoked before any inflammatory digital symptomatology, from where the interest of a good interrogation and a targeted paraclinical assessment. </p>
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