Swelling of hand and forearm caused by Mycobacterium bovis

A 75-year-old native Dutch farmer presented with a painless swelling of his right hand extending into his forearm, accompanied by general malaise and low grade fever. His medical history revealed coxitis tuberculosa in 1954 a nd injury of the same hand in 1978. His present swelling appeared to be cau sed by Mycobacterium bovis, probably due to endogenous reactivation. Whethe r the mycobacteria reached the hand hematogenously or were directly inocula ted at the time of injury of his hand in 1978 remains unclear. (C) 1999 Pub lished by Elsevier Science B.V. All rights reserved.