Swelling on right great toe 3 years. C/o pain 10 days. Thought ganglion. Punctured and eased out pus. Swelling recurred.

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Tuberculous tenosynovitis. Aspirate should be sent for cytopathology and culture in LJ medium

Most probably tubercular abcess. Pus culture or TBPCR of the pus may help in diagnosis.

I agree with you Dr Nabarun Ghoshal sir
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Bursitis/cystic swelling.would need complete excision.

Tubercular abcess .

Abscess

Think of bone TB there.Do x ray of the big toe

Bursitis with secondary infection

Looks like abscess

Aspirate pus and send for CBNAT testing for tb

Pus culture sensitivity

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