Isolated Tuberculosis of Talus: A Case Report

Abstract

Tuberculosis still remains a leading infection, causing death and disability worldwide. We report a patient with isolated tuberculosis of the talus bone. A 14 year old boy reported with an eight-month history of swelling and pain in his left ankle joint. Routine investigations indicated positive aetiology of tuberculous infection . Surgical curettage of the talus and, debridement were performed and a below knee POP cast was applied along with anti TB therapy. After 18 months postoperative , the patient was able to carry out his daily activities without pain .The ankle and foot are rarely affected and account for only 1% of all TB infections. Provisional diagnosis can be made through history and routine investigations but confirmation by the identification of the bacillus from the local lesion or by a histopathological examination of tissue. Talus tuberculosis should be considered in any long standing inflammatory pathology of the ankle.

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“…Tuberculosis (TB) infection is a grave problem for the medical society, especially in the third-world healthcare systems. Although it manifests in the pulmonary system, in the majority of cases, non-pulmonary systems including musculoskeletal system can get involved in as much as for 30% of the patients [ 3 ]. The most common sites affected osteoarticularlar TB include the spine, hip, and knee [ 4 ].…”

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