Chronic osteomyelitis of humerus presenting as scrofuloderma

Sahu, Swagatika; Pattnaik, Satyadarshi; Mohanty, Indrani; Narasimham, Moningi Venkata; Panda, Pratap Chandra

doi:10.4103/0019-5154.117344

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…Scrofuloderma is mostly found on the neck (parotid, submandibular, and supraclavicular), axilla, and inguinal areas [ 3 , 4 ]. It rarely occurs on the lower legs or upper arms by the spread of osteomyelitis of the humerus, wrist, and elbow bones [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Tuberculous Dactylitis in a Case of Multiple Scrofuloderma

Menaldi¹,

Lubis²,

Fadhilla³

et al. 2022

Case Rep Dermatol

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This paper reports a case of tuberculous dactylitis and multiple scrofuloderma spreading through the lymph nodes. Scrofuloderma, also known as tuberculosis colliquativa cutis, is a form of cutaneous tuberculosis (TB) that occurs most often in children and young adults and involves the skin over the infection focus (i.e., lymph nodes, bones, or joints). Scrofuloderma can affect the lower limbs and upper arms by spreading osteomyelitis TB on the humerus, wrist, and elbow. This study reports the case of a 19-year-old man who initially developed painful and swollen skin, followed by the appearance of numerous recurring lumps on the left arm and hand and the right foot, as well as the folding right hamstring, over 3 years. The patient had no clinical improvement with antibiotics and excision. Radiography of the left hand showed tuberculous dactylitis. A biopsy of the left arm was performed, and Ziehl-Neelsen staining showed acid-fast bacilli. Mycobacterium tuberculosis was confirmed by a real-time polymerase chain reaction. Anti-TB drug treatment was initiated with rifampicin, isoniazid, pyrazinamide, and ethambutol, and debridement was performed on the left hand, which resulted in significant improvement of the lesion. Atypical clinical manifestations and unawareness of M. tuberculosis as an underlying disease delayed the diagnosis and treatment of this patient with tuberculous dactylitis and multiple scrofuloderma.

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Section: Introductionmentioning

confidence: 99%

Tuberculous Dactylitis in a Case of Multiple Scrofuloderma

Menaldi¹,

Lubis²,

Fadhilla³

et al. 2022

Case Rep Dermatol

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Concomitant Scrofuloderma and Tuberculous Osteomyelitis of Mandible

et al. 2016

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Successful Fixation of a Tuberculous Nonunion of the Humeral Shaft

Patel

Miller

2019

JBJS Case Connector

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Case: A 48-year-old man from North Africa with a history of infection after fixation of a humeral fracture presented 8 years later with an infected nonunion. After operative debridement, Mycobacterium tuberculosis grew on culture. Following a 2-stage surgical procedure and medical management of the tuberculosis (TB), successful union had been achieved at the 1-year follow-up. Conclusion: Nonunion of the humerus caused by TB is a rare entity, but careful attention to patient demographics can forewarn the care provider. Irrigation and debridement with the Masquelet technique followed by compression plating and an iliac crest autograft can provide positive results.

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Chronic osteomyelitis of humerus presenting as scrofuloderma

Cited by 3 publications

References 4 publications

Tuberculous Dactylitis in a Case of Multiple Scrofuloderma

Tuberculous Dactylitis in a Case of Multiple Scrofuloderma

Concomitant Scrofuloderma and Tuberculous Osteomyelitis of Mandible

Successful Fixation of a Tuberculous Nonunion of the Humeral Shaft

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