A 17-year-old boy dealing with a pain and swelling on the dorsal side of his left hand from past two months. He had no known medical conditions and was not receiving medications. Physical examination A hard and suppurative nodule was noted around the left third metacarpal. No fever, no lymphadenopathy, and no history of trauma.
Radiography test Slightly thinned cortex surrounding a lytic core with trabecular pieces on the third metacarpal bone (marked with an arrow) on the left hand. Exudate aspirated from the third metacarpal was found positive for Mycobacterium tuberculosis in culture. What are the diagnoses for this rare condition? *This case is from Docplexus editorial team for educative purpose only Source: NEJM
