J Pediatr Infect Dis 2013; 08(02): 093-096
DOI: 10.3233/JPI-130382
Case Report
Georg Thieme Verlag KG Stuttgart – New York

Digital gangrene an unusual feature of tuberculosis: A case report of a toddler from a low health resource country

Baba Usman Ahmadu
a  Department of Paediatrics, Federal Medical Centre Yola, Yola, Nigeria
,
Pembi Emmanuel
a  Department of Paediatrics, Federal Medical Centre Yola, Yola, Nigeria
,
Babagana Mustapha Kurna
a  Department of Paediatrics, Federal Medical Centre Yola, Yola, Nigeria
› Author Affiliations

Subject Editor:
Further Information

Publication History

02 February 2013

09 April 2013

Publication Date:
28 July 2015 (online)

Abstract

We describe a case of digital gangrene in a toddler with background disseminated tuberculosis based on non response to antibiotic treatment for twenty four days, lack of BCG immunization, positive contact with adult having chronic cough, favorable epidemiologic and radiologic features of tuberculosis. She presented with fever, cough, vomiting, weight loss and black discolouration of the fingers and toes. Patient was febrile (Temp 39.4°C), pale, had digital gangrene, peripheral lymphadenopathy and weighed 75% of her expected body weight. She was dyspnoeic, tachypnoec, respiratory rate of 42 cycles per minute with crackles. Her pulse rate was 140 beat/minute (tachycardia), in addition to hepatosplenomegaly. Chest X-ray showed features of consolidation, full blood count revealed packed cell volume of 21%, eosinophilia of 8% and erythrocyte sedimentation rate (ESR) of 130 mm/Hr. Patient remarkably improved with anti-tuberculosis drugs and discharged on follow-ups.