WITHDRAWN: Tuberculosis of calcaneus—A case report and review of literature

Yadav, Amit Kumar; Gs, Prasanna Kumar; Ks, Akshay; Harsoor, Abhishek

doi:10.1016/j.ijscr.2020.07.004

Cited by 6 publications

(13 citation statements)

References 8 publications

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“…Conventional wound care with topical dressings is inappropriate to manage the wound when sinus tracts are present and can aggravate the condition. Unfortunately, even with appropriate care and after surgical debridement to promote healing, patients with such skeletal TB wounds often relapse and form sinus tract again4,8 such was the situation in our case. In recent years, VSD treatment has been an effective method for deep sinus wound management 9,10.…”

Section: Discussionmentioning

confidence: 65%

“…Unfortunately, if not treated promptly, the TB lesions will spread to the surrounding soft tissues such as joint capsules, muscles, tendons, and fascia. In severe cases, bones and articular surfaces may be significantly destroyed,3,4 forming deep TB wounds with sinus tracts, which are extremely difficult to treat. Vacuum-shielded drainage (VSD) is a new method, similar to negative pressure wound therapy, for treating various complex wounds and managing drainage from deep areas.…”

Section: Introductionmentioning

confidence: 99%

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Management of Multiple Skeletal Tuberculosis Wounds Complicated With Multiple Deep Sinus Tracts

Zhang¹,

Zhou²,

Wu³

et al. 2021

Journal of Wound, Ostomy &Amp; Continence Nursing

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BACKGROUND: Tuberculosis (TB) is a leading infectious disease worldwide. It rarely occurs in the scapula and toe joints and is easily misdiagnosed. Without prompt treatment, the associated lesions can spread to surrounding soft tissues such as joint capsules, muscles, tendons, and fascia. In severe cases, the bones and articular surfaces can become significantly damaged; it is not uncommon for deep skeletal TB wounds with sinus tracts to form, which are very difficult to treat. We report our successful wound care management approach for one patient with multiple skeletal TB complicated with multiple deep sinus tracts. CASE: The patient was treated with anti-TB medications, and wound and bone debridement (sharps, surgical) combined with vacuum-shielded drainage (VSD) (Kula, CG Bio Co Ltd, Gyeonggi-do, South Korea) to fill the sinus tract. We removed the caseous (cheese-like) necrotic tissue, purulent drainage, and necrotic tissue at the base of the wound to ensure optimal wound care. Throughout the course of treatment, we selected different types of dressings to maintain moist wound healing and absorb excessive drainage. After 144 days of treatment, the wound and deep sinus tracts completely healed. CONCLUSIONS: Wounds related to skeletal TB with multiple sinus tracts are difficult to manage and heal. We found our wound protocol that included timely debridement and use of VSD was effective for the management of these complex wounds. Specifically, our approach filled the dead space in the sinus tract, removed excessive drainage, promoted the growth of granulation tissue, and overall promoted tissue healing.

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Section: Discussionmentioning

confidence: 65%

Section: Introductionmentioning

confidence: 99%

Management of Multiple Skeletal Tuberculosis Wounds Complicated With Multiple Deep Sinus Tracts

Zhang¹,

Zhou²,

Wu³

et al. 2021

Journal of Wound, Ostomy &Amp; Continence Nursing

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“…The literature review of the past 10 years shows that Male: Female is 3:1. [4,12,[17][18][19][20][21][22][23][24] The disease duration varied from 1 to 24 months. The side involvement does not show much difference in involvement with Left: Right; 1.27:1.…”

Section: Discussionmentioning

confidence: 99%

“…Yadav et al [21] (2020) Ramanathan et al [22] (2020) Bikoroti et al [23] (2021) Kadu et al [24] (2016) enzymes, there is a preservation of joint space in TB compared to pyogenic infections. Second, the Phemister triad (peripheral bony erosion, decreased joint space and juxta-articular osteoporosis), is not commonly seen in calcaneal TB.…”

Section: -Year-malementioning

confidence: 99%

Calcaneum tuberculosis – A rare entity: Case report and review of literature

Choudhary¹,

Saxena

Chouhan³

et al. 2023

JMSR

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Calcaneum tuberculosis (TB) is a rare entity, though it is the commonly involved tarsal bone. It does not present with the typical features of TB and can be confused with other pathologies affecting the heel. Very few case reports and case series studies are present to date for describing this rare entity. We report a 23-year-old female who presented to the orthopedic outpatient clinic with pain and swelling around the left heel and posterior aspect of the ankle for 3 months. Her radiograph showed a lytic lesion in the posterosuperior aspect of the calcaneum. Therefore, magnetic resonance imaging was done, which showed a lesion around the posterior-superior aspect of the calcaneum with the involvement of retrocalcaneal bursa. An incisional biopsy was performed, followed by en bloc excision of the lesion. The histopathological examination report suggested granuloma formation with caseous necrosis and the cartridge-based nucleic acid amplification test was also positive for mycobacterial TB infection. Proper clinical history, radiological examination, and biopsy are of utmost importance in these rare entities as they help in making the definitive diagnosis. Anti-Koch treatment is an effective treatment for TB, and the patient improved within 2 months of treatment both clinically (pain, swelling, and activity of daily routine) and radiologically (for bone formation and no recurrence). This report aimed to present a lytic lesion of the calcaneum that turned out to be TB and its management. The follow-up was 18 months post-surgery and showed no signs and symptoms of recurrence.

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“…At the feet the calcaneus bone was affected most frequently. 2,3 Clinically, TBC affectation of the calcaneus bone can be difficult to diagnose because the symptoms like pain, swelling, functional difficulties, can be associated to several other pathologies.…”

Section: Introductionmentioning

confidence: 99%

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WITHDRAWN: Tuberculosis of calcaneus—A case report and review of literature

Cited by 6 publications

References 8 publications

Management of Multiple Skeletal Tuberculosis Wounds Complicated With Multiple Deep Sinus Tracts

Management of Multiple Skeletal Tuberculosis Wounds Complicated With Multiple Deep Sinus Tracts

Calcaneum tuberculosis – A rare entity: Case report and review of literature

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