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    Tuberculous dactylitis in the setting of low serum vitamin D: a case report.

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    Authors
    Cahill, K C
    Conroy, F J
    Brown, A
    Dunlop, R L E
    Eadie, P
    Keane, J
    Affiliation
    Department of Plastic & Reconstructive Surgery, St James Hospital, Dublin 8,, Ireland. cahillkev@hotmail.com
    Issue Date
    2012-02-01T10:45:21Z
    MeSH
    Adult
    Humans
    Male
    Osteomyelitis/drug therapy/*microbiology
    Tuberculosis, Osteoarticular/*blood/immunology/radiography
    Vitamin D/*blood/immunology
    Vitamin D Deficiency/immunology
    
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    Citation
    J Plast Reconstr Aesthet Surg. 2011 Dec;64(12):e321-4. Epub 2011 May 28.
    Journal
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS
    URI
    http://hdl.handle.net/10147/207810
    DOI
    10.1016/j.bjps.2011.04.042
    PubMed ID
    21621496
    Abstract
    We present the case of a previously well patient who presented to the Emergency Department of a Dublin hospital with a tuberculous infection of his dominant index finger and a very low serum vitamin D level--this has been implicated in both primary and reactivation infections with Mycobacterium Tuberculosis. This case highlights and reviews both the importance of considering non-endemic pathologies in the setting of a patient base of diverse ethnicity, and the emerging importance of vitamin D in the immune response to M. tuberculosis infection. We discuss the relevant literature to highlight the background of this disease process, and the importance of a multidisciplinary approach to these patients.
    Language
    eng
    ISSN
    1878-0539 (Electronic)
    1748-6815 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.bjps.2011.04.042
    Scopus Count
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    St. James's Hospital

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