Tuberculous dactylitis, a rare form of osteoarticular tuberculosis (TB), affects the short tubular bones of the hands and feet, such as the phalanges, metacarpals, and metatarsals. This condition is more frequently observed in the hands than the feet and is exceptionally rare in individuals older than five years. The diagnosis of tuberculous dactylitis is often challenging due to its atypical presentation, limited diagnostic methods, and its similarities with other diseases. This case report describes a rare instance of tuberculous dactylitis in an adult patient with no identifiable risk factors, who was successfully treated with anti-tubercular medication, highlighting the need for increased awareness and accurate diagnostic approaches.

Keywords:Tuberculous Dactylitis; Osteoarticular Tuberculosis; Spina Ventosa; Tuberculous Osteitis.