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Published on: January 23, 2018
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Tuberculosis of talus: A case report
Siham Abbaoui1, Hadi El Hassan1, Mohamed Belahcen1
1Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Oujda, Morocco.
International Journal of Surgery Case Reports
|May 24, 2022
Summary
Tuberculosis of the talus is a rare condition, often difficult to diagnose due to non-specific symptoms. Early diagnosis and treatment, including biopsy and multi-drug chemotherapy, are crucial for managing this rare form of osteoarticular tuberculosis.
Area of Science:
- Orthopedics
- Infectious Diseases
- Pediatrics
Background:
- Osteoarticular tuberculosis accounts for 1-3% of all tuberculosis cases.
- Tuberculosis of the talus is an exceptionally rare manifestation.
- Clinical and radiological signs are often non-specific, delaying diagnosis.
Purpose of the Study:
- To report a rare case of talus tuberculosis in a 5-year-old girl.
- To highlight diagnostic challenges and management strategies for this rare condition.
Main Methods:
- A 5-year-old girl presented with ankle pain, swelling, and functional impairment.
- Initial investigations included X-ray, which showed a lytic lesion of the talus.
- Diagnosis was confirmed via bone biopsy revealing epithelioid granuloma.
Main Results:
- Standard radiology, MRI, and biological tests were inconclusive.
- Bone biopsy and histopathological examination confirmed tuberculosis of the talus.
- The patient was treated with multi-drug anti-tuberculosis chemotherapy.
Conclusions:
- Tuberculosis of the talus is rare and presents diagnostic challenges.
- Prompt diagnosis through bone biopsy is essential.
- Treatment involves surgical intervention for sampling and debridement, followed by prolonged anti-tuberculosis chemotherapy.
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