Document 0141
 DOCN  M9480141
 TI    [Rapidly growing tumor of the hand--is tuberculosis as differential
       diagnosis gaining increased importance?]
 DT    9410
 AU    Weber P; Rosslein R; Kinderchirurgischen Universitatsklinik,
       Kinderspital Basel.
 SO    Handchir Mikrochir Plast Chir. 1994 Mar;26(2):91-4. Unique Identifier :
       AIDSLINE MED/94292059
 AB    A two-year-old healthy, Portuguese girl presented with a prominent,
       painless tumor over the first web space of the left hand. The tumor
       increased rapidly in size over a few weeks, but caused no functional
       problems. On X-ray films, a cystic structure of the first metacarpal
       bone with erosion of the corticalis was demonstrated. At operation, a
       cold abscess was found. Bacterial examination of the gastric juice
       showed acid-resistant bacilli. The spina ventosa (Latin: Spina-a thorn;
       ventosa-full of wind, distended) is a typical extrapulmonary
       manifestation of tuberculosis in phalangeal, metacarpal, and metatarsal
       bones of children. The recognition of this diagnosis is very important
       and will become more so in the future as it has already been seen in
       HIV-positive children in the USA, as well as in immuno-suppressed
       children and in un-vaccinated and malnourished children from war zones
       in eastern Europe.
 DE    Bone Regeneration/PHYSIOLOGY  Case Report  Child, Preschool  Combined
       Modality Therapy  Diagnosis, Differential  Drug Therapy, Combination
       English Abstract  Female  Human  Isoniazid/ADMINISTRATION & DOSAGE
       Magnetic Resonance Imaging  *Metacarpus/PATHOLOGY/SURGERY
       Rifampin/ADMINISTRATION & DOSAGE  Tuberculosis,
       Osteoarticular/*DIAGNOSIS/PATHOLOGY/SURGERY  JOURNAL ARTICLE

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