Tuberculous osteomyelitis of the midfoot in the absence of a pulmonary lesion: A case report

Prechtl, Nancy V.; Marcoux, John T.

doi:10.1016/j.fas.2008.03.003

Cited by 5 publications

(4 citation statements)

References 5 publications

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“…A high suspicion index is required for the diagnosis, as symptoms might mimic other pathologies such as pyogenic osteomyelitis, bone tumors, or Kaposi sarcoma. 9 Diagnostic imaging is challenging because signs of TB may mimic those of other diseases such as neoplasms or sarcoidosis. The radiographic features of osteoarticular TB are nonspecific and can be observed 2 to 5 months after the onset of clinical manifestations.…”

Section: Discussionmentioning

confidence: 99%

“…As in our case, the diagnosis was made 5 months after the onset of symptoms, when an extensive bone destruction was already present. A high suspicion index is required for the diagnosis, as symptoms might mimic other pathologies such as pyogenic osteomyelitis, bone tumors, or Kaposi sarcoma 9. Diagnostic imaging is challenging because signs of TB may mimic those of other diseases such as neoplasms or sarcoidosis.…”

Section: Discussionmentioning

confidence: 99%

“…Frequent associated features are osteopenia, subchondral erosion, and adjacent soft tissue swelling. 9 In postprimary pulmonary TB, CT is the method of choice to reveal early bronchogenic spread. However, imaging findings in musculoskeletal TB are often nonspecific.…”

Section: Discussionmentioning

confidence: 99%

“…The most encountered radiographic finding is an osteolytic lesion surrounded by a condensed zone. Frequent associated features are osteopenia, subchondral erosion, and adjacent soft tissue swelling 9. In postprimary pulmonary TB, CT is the method of choice to reveal early bronchogenic spread.…”

Section: Discussionmentioning

confidence: 99%

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Tuberculous Osteomyelitis of the Fifth Metatarsal Treated Using the Induced Membrane Technique: A Case Report

Bellil

Tekaya

Souissi

et al. 2022

Techniques in Foot &Amp; Ankle Surgery

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Tuberculous osteomyelitis of the foot, an uncommon and rare entity, accounts for <0.01% of all tuberculous localizations. Osteomyelitis secondary to tuberculosis is difficult to diagnose and treat, requiring a high suspicion index. We report a case of tuberculous osteomyelitis of the fifth metatarsal bone treated with the induced membrane technique. Here, we report the case of a 40-year-old woman with a history of immunosuppressive treatment presented with a complaint of painful swelling of the left foot. Radiographs showed osteolytic lesions of the fifth metatarsal bone. Initial biopsy suggested tuberculosis. She was surgically treated with the induced membrane technique. Histology confirmed tuberculous osteomyelitis and antituberculous treatment was initiated. Full weight-bearing was allowed after 8 months. At 24 months follow-up, all symptoms were resolved. The radiographs showed an integrated graft. In conclusion, the presence of osteolytic lesions on a plain film should rise high suspicious for a possible infection requiring biopsy, and if confirmed, mandates surgical debridement and reconstruction. The induced membrane technique offers a mean to treat infectious bone defects.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations