Unusual Coexistence of Giant Cell Tumor and Small Bone Tuberculosis of the Hand - A Case Report
<p><strong>Background:</strong> The coexistence of giant cell tumor (GCT) and metacarpal bone tuberculosis (TB) of the hand has never been described before in the English written literature. We report here a first observation. </p><p><strong>Case presentation:<...
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Global Journal of Medical and Clinical Case Reports - Peertechz Publications,
2016-11-18.
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LEADER | 00000 am a22000003u 4500 | ||
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001 | peertech__10_17352_2455-5282_000029 | ||
042 | |a dc | ||
100 | 1 | 0 | |a Gideon Charach |e author |
700 | 1 | 0 | |a Itamar Grosskopf |e author |
700 | 1 | 0 | |a Ronen Shteinvil |e author |
700 | 1 | 0 | |a Michal Ehrnwald |e author |
700 | 1 | 0 | |a Hila Nochomovitz |e author |
700 | 1 | 0 | |a Lior Charach |e author |
700 | 1 | 0 | |a Lior Zusmanovich |e author |
700 | 1 | 0 | |a Ori Rogowski |e author |
700 | 1 | 0 | |a Ori Argov |e author |
245 | 0 | 0 | |a Unusual Coexistence of Giant Cell Tumor and Small Bone Tuberculosis of the Hand - A Case Report |
260 | |b Global Journal of Medical and Clinical Case Reports - Peertechz Publications, |c 2016-11-18. | ||
520 | |a <p><strong>Background:</strong> The coexistence of giant cell tumor (GCT) and metacarpal bone tuberculosis (TB) of the hand has never been described before in the English written literature. We report here a first observation. </p><p><strong>Case presentation:</strong> We report the case of a 49-year-old male who presented with severe pain in his left hand following a blunt trauma. A plain X-ray of the metacarpal bones showed a pathological fracture of the 4th metacarpal bone (diaphysis), and computerized tomography and magnetic resonance imaging studies confirmed the diagnosis of destructive (lytic) lesions. biopsy of the metacarpal lesion revealed a GCT, and tissue cultures were positive for mycobacterium tuberculosis (TB). He was treated by a standard 4-drug protocol of isoniazid, rifampicin, pyrazinamide and ethambutol for 2 months and an additional 6 months of isoniazid and rifampicin. He then underwent excision of the metacarpal lesion, and the pathological examination showed a GCT with cultures negative for TB. </p><p><strong>Conclusions:</strong> The correct diagnosis of this unique combination of pathologies (GCT and metacarpal bone TB) depended on a high index of clinical suspicion, referral to mycobacterial laboratory tests, careful histologic examination of tissue samples and especially radiomorphologic findings.</p> | ||
540 | |a Copyright © Gideon Charach et al. | ||
546 | |a en | ||
655 | 7 | |a Case Report |2 local | |
856 | 4 | 1 | |u https://doi.org/10.17352/2455-5282.000029 |z Connect to this object online. |