{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T13:34:58Z","timestamp":1788960898247,"version":"build-2803163510"},"reference-count":12,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,9,4]]},"abstract":"<jats:p>We report a case of a 13-year-old immunocompetent male with multifocal tubercular osteomyelitis involving several spinal segments, small bones of the hands, and the scalp, who started with progressively back pain and enlarging painful swelling on the palms of hands, fatigue, and irregular fever. All the hand lesions were firm, mildly tender, and covered by ulcerated skin with serous discharge from the site. Magnetic resonance showed lesions of the right fifth metacarpal, of the right intermediate phalanx of the fourth finger, of the left second metacarpal, and of most vertebral bodies of the cervical, dorsal, lumbar, and sacral spine. The nucleic acid amplification test and the final culture from the drainage of the hands\u2019 lesion were positive for <jats:italic>Mycobacterium tuberculosis<\/jats:italic>. The patient received a standard antitubercular treatment for 12 months with clinical improvement.<\/jats:p>","DOI":"10.4269\/ajtmh.19-0262","type":"journal-article","created":{"date-parts":[[2019,7,30]],"date-time":"2019-07-30T07:00:41Z","timestamp":1564470041000},"page":"494-497","source":"Crossref","is-referenced-by-count":7,"title":["Case Report: Multifocal Tubercular Osteomyelitis of the Spine and Bilateral Dactylitis"],"prefix":"10.4269","volume":"101","author":[{"given":"Francesco","family":"Taccari","sequence":"first","affiliation":[{"name":"Institute of Clinical Infectious Disease, Catholic University of the Sacred Heart, Rome, Italy;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianmaria","family":"Baldin","sequence":"additional","affiliation":[{"name":"Institute of Clinical Infectious Disease, Catholic University of the Sacred Heart, Rome, 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Rome, Italy;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Leone","sequence":"additional","affiliation":[{"name":"Fondazione Policlinico Universitario \u201cAgostino Gemelli\u201d IRCCS, Rome, Italy;"},{"name":"Department of Radiological Sciences, Catholic University of the Sacred Heart, Rome, Italy;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Pallavicini","sequence":"additional","affiliation":[{"name":"Institute of Clinical Infectious Disease, Catholic University of the Sacred Heart, Rome, Italy;"},{"name":"Fondazione Policlinico Universitario \u201cAgostino Gemelli\u201d IRCCS, Rome, Italy;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","series-title":"J Clin Microbiol","first-page":"59","article-title":"Multicenter evaluation of Anyplex Plus MTB\/NTM MDR-TB assay for rapid detection of Mycobacterium tuberculosis complex and multidrug-resistant isolates in 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