J Korean Orthop Assoc.  2009 Apr;44(2):275-278.

Tuberculous Osteomyelitis of the Tarsal Bone in an Infant: Case Report

• Choi JS
• Gwak HC
• Kim JH
• Lee CR

Abstract

Osteoarticular tuberculosis is a rare condition and it makes up 1-3% of all cases of tuberculosis. It usually occurs at the vertebra and it is common knowledge that tuberculous osteomyelitis is very rare at the foot. The clinical symptoms are nonspecific, and it can also mimic a wide range of pathologies, so it takes a lot of time to diagnosis and treat this illness. When osteoarticular tuberculosis is diagnosed, it should be gone through side to side with thorough debridement and chemotherapy. The author has experience 2 case of tuberculous osteomyelitis, so I report here on the diagnosis and treatment of this illness.

Keyword

Foot; Tuberculous osteomyelitis

MeSH Terms

Debridement
Foot
Hydrazines
Osteomyelitis
Spine
Tarsal Bones
Tuberculosis
Tuberculosis, Osteoarticular
Hydrazines

Figure

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  Fig. 1 AP radiograph of the foot shows diffuse osteolytic lesion and erosions at the peripheral margins of the cuboid.

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  Fig. 2 Enhenced T1 weighted images show altered marrow signal in cuboid (arrow) and extensive soft tissue edema on the lateral aspect of the foot (open arrow).

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  Fig. 3 This is the photo after debridement and drilling operation.

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  Fig. 4 This photos show granulomatous inflammation with epithelioid cells and Langhans giant cell and caseous necrosis.

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