{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:19Z","timestamp":1756339519958,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,2,20]]},"published-print":{"date-parts":[[2025,3]]},"abstract":"\n A well-thriving male toddler<\/jats:named-content>\n presented with a painless swelling on the dorsal surface of his right hand<\/jats:named-content>, incidentally noticed by the mother. There was no history of local trauma or any systemic <\/jats:named-content>symptoms. On examination, there were no signs of inflammation over the swelling. An <\/jats:named-content>X-ray was taken<\/jats:named-content>, and an expansile lytic lesion of<\/jats:named-content> the right fifth metacarpal bone was seen. He underwent debridement<\/jats:named-content>, and the tissue was sent for histopathological examination (<\/jats:named-content>HPE) and <\/jats:named-content>cartridge-based nucleic acid amplification test (<\/jats:named-content>CBNAAT) <\/jats:named-content>\n for <\/jats:named-content>\n Mycobacterium tuberculosis<\/jats:italic>\n (<\/jats:named-content>\n M. tb<\/jats:italic>\n ). HPE revealed ill-defined granulomas and multinucleated giant cells<\/jats:named-content>, and CBNAAT was positive for <\/jats:named-content>\n M. tb<\/jats:italic>\n -<\/jats:named-content>rifampicin sensitive<\/jats:named-content>\n . The <\/jats:named-content>child was started on anti<\/jats:named-content>\n tubercular therapy. He is doing well on <\/jats:named-content>follow-up. <\/jats:named-content>Awareness of this presentation of tuberculous dactylitis and its timely diagnosis will help in minimising complications and facilitate complete resolution of the infection.<\/jats:p>","DOI":"10.1136\/bcr-2025-265071","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T09:41:32Z","timestamp":1741945292000},"page":"e265071","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["TB dactylitis in a toddler"],"prefix":"10.1136","volume":"18","author":[{"given":"Sruthi","family":"Balan","sequence":"first","affiliation":[{"name":"Pediatrics, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajesh","family":"Balan","sequence":"additional","affiliation":[{"name":"Pediatrics, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Immanni Ganga","family":"Pujitha","sequence":"additional","affiliation":[{"name":"Pediatrics, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Padmasani","family":"Venkat Ramanan","sequence":"additional","affiliation":[{"name":"Pediatrics, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,3,14]]},"reference":[{"key":"2025082708302404000_18.3.e265071.1","doi-asserted-by":"crossref","DOI":"10.1186\/s12879-024-09871-3","article-title":"Bilateral tuberculous dactylitis of both hand and feet in a female toddler: a case report on a rare presentation of skeletal tuberculosis in children","volume":"24","author":"Gebrehana","year":"2024","journal-title":"BMC Infect Dis"},{"key":"2025082708302404000_18.3.e265071.2","first-page":"18743","article-title":"Spina ventosa\u2014An uncommon presentation of a common infection: A rare case series","volume":"25","author":"Revathi","year":"2021","journal-title":"Current Pediatric Research"},{"key":"2025082708302404000_18.3.e265071.3","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1007\/s43465-024-01102-w","article-title":"Multiple Metacarpal Loss Secondary to Tuberculous Dactylitis: Challenges and Management: A Case Report","volume":"58","author":"Shah","year":"2024","journal-title":"JOIO"},{"key":"2025082708302404000_18.3.e265071.4","first-page":"184","article-title":"Tuberculous dactylitis: A case series and review of literature","volume":"4","author":"Ali","year":"2014","journal-title":"Journal of Pioneer Medical Sciences"},{"key":"2025082708302404000_18.3.e265071.5","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1016\/j.ijtb.2017.05.002","article-title":"Bilateral Tubercular Dactylitis: Unusual presentation of an usual disease","volume":"66","author":"Ranjan","year":"2019","journal-title":"Indian J Tuberc"},{"key":"2025082708302404000_18.3.e265071.6","doi-asserted-by":"crossref","first-page":"48","DOI":"10.24018\/ejmed.2023.5.5.1933","article-title":"Tubercular Dactylitis in a 5-Year Girl: A Case Report on Uncommon Presentation of Skeletal Tuberculosis","volume":"5","author":"Ullah","year":"2023","journal-title":"EJMED"},{"key":"2025082708302404000_18.3.e265071.7","doi-asserted-by":"crossref","first-page":"301","DOI":"10.4314\/ejhs.v26i3.15","article-title":"Tuberculous Dactylitis: An Uncommon Presentation of Skeletal Tuberculosis","volume":"26","author":"Abebe","year":"2016","journal-title":"Ethiop J Health Sci"},{"key":"2025082708302404000_18.3.e265071.8","article-title":"Tuberculous Dactylitis: An Uncommon Presentation of a Common Infection","volume":"2016","author":"Rao","year":"2016","journal-title":"Case Rep Pediatr"},{"key":"2025082708302404000_18.3.e265071.9","first-page":"72","article-title":"Tuberculous Dactylitis in Adult - A Case Report and Review of Literature","volume":"10","author":"Yadav","year":"2020","journal-title":"J Orthop Case Rep"},{"key":"2025082708302404000_18.3.e265071.10","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1186\/s12887-024-05105-2","article-title":"A case of early-onset congenital syphilitic osteomyelitis of the calcaneus and literature review","volume":"24","author":"Guo","year":"2024","journal-title":"BMC Pediatr"},{"key":"2025082708302404000_18.3.e265071.11","unstructured":"National TB Elimination Programme, Central TB Division . Training modules for programme managers & Medical officers. Ministry of Health and Family Welfare, Government of India, Available: https:\/\/tbcindia.gov.in\/index1.php?lang=1&level=1&sublinkid=5465&lid=3540 [Accessed 24 Feb 2022]."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-265071","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:30:32Z","timestamp":1756308632000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-265071"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":11,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,3,14]]},"published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1136\/bcr-2025-265071"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-265071","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,3]]}}}