Infection of a tophaceous nodule of the wirst and hand : a case report

الملخص EN

Tophaceous gout occurs years after recurrent attacks of acute inflammatory arthritis.

The urate deposits are incriminated in the inflammatory process however their infection is exceptional.

Observation: We report the observation of an infected gouty tophus of the little finger and the wrist at a 40-year-old man, presented as an excruciating inflammatory pain with buff-yellow swelling of the fifth right finger and wrist in a febrile context.

Evolution was favorable after surgical excision and antibiotic therapy.

Conclusion: The infection of a tophus is an exceptional complication of the gout.

In daily practice, this diagnosis is a difficult challenge for the clinician.

The systematic bacteriological examination of the tophi with cutaneous fistulation is necessary to introduce prematurely an adapted treatment.