Tuberculous infection of metacarpals, metatarsals, and phalanges of hands and feet is known as tuberculous dactylitis. It forms a spindle shaped expansion of short tubular bones due to tuberculous granuloma. TB dactylitis and spina ventosa are the common variants of TB osteomyelitis seen in children below five years. In our case an 8-year-old boy was admitted with swelling and flexion deformity of metacarpals and fingers of right hand and discharging sinuses. The child was investigated in line of tuberculosis and diagnosed to have tuberculous dactylitis. The patient responded well to anti-tubercular therapy.

Keywords: Tuberculous Dactylitis, Tuberculous Granuloma, Spina Ventosa.

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Dr Anjali Saji

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