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Tuberculosis of the Cuboid: A Case Report.
Samriddhi Sarkar1, Vishnu Harikrishnan1, Shivam Sahu1
1Department of Orthopedics, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pondicherry, IND.
Cureus
|November 5, 2024
Summary
Tuberculosis (TB) is a global health issue. This case report details a rare cuboid bone infection caused by Mycobacterium tuberculosis, successfully treated with anti-tubercular therapy.
Area of Science:
- Orthopedics
- Infectious Diseases
- Radiology
Background:
- Tuberculosis (TB) poses a significant global health challenge.
- Skeletal TB accounts for a small percentage of TB cases.
- Foot and cuboid bone involvement in skeletal TB is particularly uncommon.
Observation:
- An 18-year-old male presented with left midfoot pain and swelling.
- Imaging revealed potential pathology in the dorsolateral aspect of the foot.
- A CT-guided biopsy was performed for diagnosis.
Findings:
- Histopathological examination confirmed necrotizing granulomatous inflammation.
- Mycobacterium tuberculosis was identified as the causative agent.
- Diagnosis of rare cuboid bone tuberculosis was established.
Implications:
- Highlights the importance of histopathological confirmation for diagnosing rare TB presentations.
- Supports the efficacy of standard anti-tubercular therapy (ATT) and non-weight-bearing protocols.
- Contributes to the understanding of musculoskeletal tuberculosis manifestations.
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