Summary A case of multifocal osteoarticular tuberculosis in a young Caucasian male is presented. The diagnostic difficulty, compounded by slow progression of the disorder and the presence of the tissue antigen HLA-B27, is discussed.

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This study was not planned in a double blind fashion, so it is not possible to ascertain the degree of bias in the interpretation of the ultrasound scan. Ultrasound scanning could be used as a readily available, low cost, high safety and high accuracy method in suspected Achilles tendon injuries and in the immediate and late post-operative periods of surgically treated injuries for follow-up purposes.

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