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Isolated calcaneocuboid joint tuberculosis: a rare case report
Gaurav Kumar Upadhaya1, Vijay Kumar Jain, Skand Sinha
1Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Dr Ram Manohar Lohia Hospital, New Delhi 110001, India.
Foot (Edinburgh, Scotland)
|November 19, 2013
Summary
This case report details a rare instance of tuberculosis affecting the calcaneocuboid joint in the foot. Early diagnosis and anti-tubercular chemotherapy led to a successful clinical outcome.
Area of Science:
- Orthopedics
- Infectious Diseases
- Radiology
Background:
- Tuberculosis (TB) typically affects the lungs but can manifest in joints.
- Arthritis of the foot is uncommon, with isolated calcaneocuboid joint TB being unprecedented in medical literature.
Observation:
- A 43-year-old male presented with a four-month history of insidious hindfoot pain.
- Radiographs and CT scans showed destruction of the calcaneocuboid joint and the cuboid bone.
Findings:
- Diagnosis was confirmed by joint aspiration and culture identifying Mycobacterium tuberculosis.
- The patient received anti-tubercular chemotherapy.
Implications:
- This case highlights the possibility of isolated calcaneocuboid joint tuberculosis.
- Prompt medical treatment resulted in a favorable clinical response, underscoring the efficacy of chemotherapy for this rare presentation.
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