Tuberculosis of Calcaneus – A Case Report and Review of Literature
| Autor: | Yadav, Amit Kumar, G S, Prasanna Kumar, K S, Akshay, Harsoor, Abhishek, Mane, Akash, Mishra, Shaswat |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Journal of Orthopaedic Case Reports |
| ISSN: | 2321-3817 2250-0685 |
| Popis: | Introduction: Osteoarticular tuberculosis (TB) constitutes 1-3 % of cases and about 10% of osteoarticular TB affects the foot and ankle. In foot, TB calcaneus is the most commonly affected bone. Case Report: A 21-year-old male presented with pain, swelling in the right heel for 5 months and difficulty in walking for 2 months. Plain X-ray (axial) view of calcaneus showed a lytic lesion in calcaneus. Biopsy was done under local anaesthesia and histologic examination revealed a characteristic granuloma, caseous necrosis, and Langhans giant cells which confirmed our diagnosis. The patient was treated with anti-TB chemotherapy for 12 months. Radiographs at 18 months follow-up showed a healed lesion. At present, the patient is comfortable with no complaints. Discussion and Conclusion: TB calcaneus is rare condition and a high index of clinical suspicion along with imaging studies helps in diagnosis. Conservative management with anti-TB chemotherapy for adequate duration helps in complete resolution of the infection with good functional results. |
| Databáze: | OpenAIRE |
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