Spina Ventosa of the Right Second Metacarpal in an Indian Girl With No Pulmonary Involvement: A Rare Case
5 affiliations
- 1Medicine, Shri Madan Lal Khurana Chest Clinic, New Delhi, IND
- 2Medicine, Ayushman Arogya Mandir Subcenter, New Delhi, IND
- 3Regenerative Medicine, Agathisha Institute of Stemcell and Regenerative Medicine (AISRM), Chennai, IND
- 4Respiratory Medical Critical Care, Max Super Speciality Hospital, New Delhi, IND
- 5Orthopaedics, ACS Medical College and Hospital, Dr. M.G.R. Educational and Research Institute, Chennai, IND
Abstract
Tuberculosis (TB) of the small bones of the hand is rare, especially in children. Isolated metacarpal involvement is even less common. We report a rare case of isolated TB of the second metacarpal in a five-year-old Indian girl without pulmonary or systemic involvement. She presented with localized pain and swelling over the dorsum of the hand. The diagnosis was challenging because of nonspecific clinical features and the absence of constitutional symptoms. Cartridge-based nucleic acid amplification testing confirmed Mycobacterium tuberculosis, allowing timely initiation of weight-based antituberculous therapy. This case emphasizes the need to consider skeletal TB in children with persistent, unexplained hand swelling, even without evidence of pulmonary disease.
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BibTeX
@article{yadav2026spina,
title = {{Spina Ventosa of the Right Second Metacarpal in an Indian Girl With No Pulmonary Involvement: A Rare Case}},
author = {Sankalp Yadav and Amruta Nadar and Madhan Jeyaraman and Gautam Rawal and Naveen Jeyaraman},
journal = {Cureus},
year = {2026},
month = sep,
doi = {10.7759/cureus.117263},
url = {https://europepmc.org/article/PMC/PMC13722826},
note = {CC BY},
}
RIS
TY - JOUR
TI - Spina Ventosa of the Right Second Metacarpal in an Indian Girl With No Pulmonary Involvement: A Rare Case
AU - Sankalp Yadav
AU - Amruta Nadar
AU - Madhan Jeyaraman
AU - Gautam Rawal
AU - Naveen Jeyaraman
PY - 2026
DA - 2026/09/30
JO - Cureus
DO - 10.7759/cureus.117263
UR - https://europepmc.org/article/PMC/PMC13722826
AB - Tuberculosis (TB) of the small bones of the hand is rare, especially in children. Isolated metacarpal involvement is even less common. We report a rare case of isolated TB of the second metacarpal in a five-year-old Indian girl without pulmonary or systemic involvement. She presented with localized pain and swelling over the dorsum of the hand. The diagnosis was challenging because of nonspecific clinical features and the absence of constitutional symptoms. Cartridge-based nucleic acid amplification testing confirmed Mycobacterium tuberculosis, allowing timely initiation of weight-based antituberculous therapy. This case emphasizes the need to consider skeletal TB in children with persistent, unexplained hand swelling, even without evidence of pulmonary disease.
SN - 2168-8184
ER -