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Spina Ventosa of the Right Second Metacarpal in an Indian Girl With No Pulmonary Involvement: A Rare Case

Year: 2026

Type: article

Abstract: Tuberculosis (TB) of the small bones of the hand is rare, especially in children.Isolated metacarpal involvement is even less common.We report a rare case of isolated TB of the second metacarpal in a fiveyear-old Indian girl without pulmonary or systemic involvement.She presented with localized pain and swelling over the dorsum of the hand.The diagnosis was challenging because of nonspecific clinical features and the absence of constitutional symptoms.Cartridge-based nucleic acid amplification testing confirmed Mycobacterium tuberculosis, allowing timely initiation of weight-based antituberculous therapy.This case emphasizes the need to consider skeletal TB in children with persistent, unexplained hand swelling, even without evidence of pulmonary disease.

Source: Cureus

DOI: 10.7759/cureus.117263

Authors: Sankalp Yadav, Amruta Nadar, Madhan Jeyaraman, Gautam Rawal, Naveen Jeyaraman

Institutions: Dr. M.G.R. Educational and Research Institute, ACS Medical College and Hospital, Max Super Speciality Hospital

Language: English

Topic: Infectious Diseases and Tuberculosis

Subfield: Infectious Diseases

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7215132650