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dc.contributor.authorCahill, K C
dc.contributor.authorConroy, F J
dc.contributor.authorBrown, A
dc.contributor.authorDunlop, R L E
dc.contributor.authorEadie, P
dc.contributor.authorKeane, J
dc.date.accessioned2012-02-01T10:45:21Z
dc.date.available2012-02-01T10:45:21Z
dc.date.issued2012-02-01T10:45:21Z
dc.identifier.citationJ Plast Reconstr Aesthet Surg. 2011 Dec;64(12):e321-4. Epub 2011 May 28.en_GB
dc.identifier.issn1878-0539 (Electronic)en_GB
dc.identifier.issn1748-6815 (Linking)en_GB
dc.identifier.pmid21621496en_GB
dc.identifier.doi10.1016/j.bjps.2011.04.042en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207810
dc.description.abstractWe 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.
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshOsteomyelitis/drug therapy/*microbiologyen_GB
dc.subject.meshTuberculosis, Osteoarticular/*blood/immunology/radiographyen_GB
dc.subject.meshVitamin D/*blood/immunologyen_GB
dc.subject.meshVitamin D Deficiency/immunologyen_GB
dc.titleTuberculous dactylitis in the setting of low serum vitamin D: a case report.en_GB
dc.contributor.departmentDepartment of Plastic & Reconstructive Surgery, St James Hospital, Dublin 8,, Ireland. cahillkev@hotmail.comen_GB
dc.identifier.journalJournal of plastic, reconstructive & aesthetic surgery : JPRASen_GB
dc.description.provinceLeinster
html.description.abstractWe 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.


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