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Archives de pédiatrie
Volume 17, n° 1
pages 45-48 (janvier 2010)
Doi : 10.1016/j.arcped.2009.10.015
Received : 3 Mars 2009 ;  accepted : 16 October 2009
Ostéoarthrite tuberculeuse du pouce : à propos d’un cas
Tuberculous arthritis of the thumb: A case report
 

S.S.E.N. Rabesalama a, H.N. Rakoto-Ratsimba a, , M. Rakotovao a, H.J.C. Razafimahandry b
a Service de chirurgie viscérale, CHU–JRA Ampefiloha, BP 4150, 101 Antananarivo, Madagascar 
b Service de chirurgie orthopédique et traumatologique, CHU–JRA Ampefiloha, BP 4150, 101 Antananarivo, Madagascar 

Auteur correspondant.
Résumé

L’atteinte tuberculeuse ostéoarticulaire est inhabituelle au niveau des doigts. Nous rapportons une observation d’atteinte du pouce chez un garçon de 8 ans. Il avait présenté une tuméfaction douloureuse du pouce droit d’aspect tumoral évoluant depuis 3 mois avec des signes généraux d’imprégnation tuberculeuse. L’étude bactériologique et une biopsie avaient permis de confirmer le diagnostic. Le traitement médical avait donné des résultats satisfaisants. Les particularités de la prise en charge sont discutées dans le contexte d’un pays en développement et par rapport aux données de la littérature.

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Summary

Fingers are an uncommon location of osteoarticular tuberculosis. We report herein a case affecting the thumb in an 8-year-old boy. He presented painful swelling of the right thumb, which had a tumoral aspect and had been evolving for 3 months with general signs of tuberculosis impregnation. Bacteriology and biopsy findings confirmed the diagnosis. Medical treatment yielded satisfactory results. The particular features of care are discussed in the context of a developing country and in relation to the data in the literature.

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Mots clés : Tuberculose, Orthopédie




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