Unexpected diagnosis ‘Foot Tuberculosis’

Year 2022, Volume: 39 Issue: 1, 302 - 304, 01.01.2022

Metin Uzun

Abstract

Tuberculosis is an infectious disease still causing significant health problems. Although it is basically a disease of the parenchyma of the pulmonary system, there can be extra-pulmonary involvement of the pleura, the central nervous system, the genito-urinary system, pericardium, eyes, skin, and the skeletal system. The primary source is pulmonary focused, and it is quite rare for infection to occur in the skeletal system by a hematogenous route. The increase in immune system compromised patients and medication resistant bacteria has caused a greater incidence of mycobacterial infection outside the lungs to have been observed. The main problem encountered in tuberculosis in the skeletal system is the diagnosis. Localized pain, high temperature and weight loss are not often seen clinically. A case is presented here for discussion of isolated foot tuberculosis, as a case which is rarely able to be diagnosed, and for which appropriate treatment was given early before the onset of function loss, giving good results.

Keywords

foot, trauma, tuberculosis, infection

References

• 1.World Health Organisation: Report on Global Tuberculosis Control,2008.
• 2.Özkara S. et al. Tuberculosis to control in turkey. Reference book. Ankara. Turkey: Republic of Turkey Ministery of Health: 2003.
• 3. Republic of TurkeyMinistry of Health, Tuberculosis Dispensery. War With Tuberculosis in Turkey, 2008 report. Ankara, Turkey: Republic of Turkey Ministry of Health, Tuberculosis Dispensery: 2008.
• 4. Gumuslu F, Özkara S, Özkan S, et al. War with tuberculosis In Turkey, 2007 Report, Ankara, Turkey: Tuberculosis Dispensery; 2007
• 5.Adjrad A, Martini N: L'osteo-arthrite tuberculeuse de la hanche chez l'adulte. Internat. Orthop. 1987;1:227-233.
• 6. Mittal R, Gubta V, Rastogi S. Tuberculosis of the foot. JBJS Br. 1999, 81-B:997-1006.
• 7. Vohra R, Kang HS, Dogra S, Saggar RR, Sharma R: Tuberculous osteomyelitis. JBJS Br 1997, 79-B:562-566.
• 8.Araki Y, Tsukaguchi I, Shino K, Nakamura H. Tubeculosis arthritis of the knee: MRI findings( letter ) AJR: Am J. Roentgenol. 1993;160-664.
• 9.Ahmadi J; Bajaj A; Destian S; Segall HD; Zee CS.Spinal tuberculosis: atypical observations at MRI Imaging. Radiology 1993;189:489-493.
• 10.Aguirre N, Bago J, Martin N. Tuberculosis of the knee. Surgical or conservative treatment? Acta Orthop. Belgica 1989;55:22-25.
• 11.Bloch AB, Rieder HL, Kelly GD, Cauthen GM, Hayden CH, Dnider DE. The epidemiology of tuberculosis in the United States. Sem. Respir. Infect. 1989;4:157-170.
• 12.CDC. Guidelines for the investigation of contacts of persons with infectious tuberculosis: recomendations from the national tuberculosis controllers association and cdcmmwr 2005;54 ( no: RR-15 ).
• 13.A.Akkaya E. Turgut. Kemik ve Eklem Tüberkülozu .T Klin Týp Bilimleri 1996, 16:343-346.
• 14.Lee SH, Abramson SB. Infections of the musculoskeletal system by M. tuberculosis. In: Rom WN, Garay SM, eds. Tuberculosis. New York, NY: Little, Brown and Company, 1996;635-644.
• 15.Watts HG, Lifso RM. Current concepts review: tuberculosis of bones and joints. J Bone Joint Surg Am1996;78:288-298.