| Autor: |
Arora, Kamal, Chaudhary, Priti |
| Zdroj: |
International Journal of Orthopaedic & Trauma Nursing; Feb2014, Vol. 18 Issue 1, p35-38, 4p |
| Abstrakt: |
Abstract: This case has been reported because of its rarity and atypical presentation. A 45year old man presented in the outpatient department with a gradually increasing swelling over the antero-medial aspect of right ankle joint. This had developed over the last 3months and the patient was experiencing pain while walking. On laboratory evaluation, he only had an elevated erythrocyte sedimentation rate. X-ray showed an extensive lytic lesion of the talus. Chest X-ray was normal. The Mantoux skin test was negative. Ziehl–Neelsen staining of aspirated fluid revealed acid-fast bacilli. Sequestrectomy with curettage with subsequent bone grafting was undertaken as an alternative to talectomy. Postoperatively a below knee cast was applied for 12weeks with 20months of antituberculous chemotheraphy, which resulted in a good clinical outcome. The lytic lesion had healed on X-ray. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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| Externí odkaz: |
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