Tuberculous dactylitis in the setting of low serum vitamin D: a case report.
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Affiliation
Department of Plastic & Reconstructive Surgery, St James Hospital, Dublin 8,, Ireland. cahillkev@hotmail.comIssue Date
2012-02-01T10:45:21ZMeSH
AdultHumans
Male
Osteomyelitis/drug therapy/*microbiology
Tuberculosis, Osteoarticular/*blood/immunology/radiography
Vitamin D/*blood/immunology
Vitamin D Deficiency/immunology
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J Plast Reconstr Aesthet Surg. 2011 Dec;64(12):e321-4. Epub 2011 May 28.Journal
Journal of plastic, reconstructive & aesthetic surgery : JPRASDOI
10.1016/j.bjps.2011.04.042PubMed ID
21621496Abstract
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
engISSN
1878-0539 (Electronic)1748-6815 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1016/j.bjps.2011.04.042
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