Abstract
Tuberculosis still remains a leading infection, causing death and disability worldwide. We report a patient with isolated tuberculosis of the talus bone. A 14 year old boy reported with an eight-month history of swelling and pain in his left ankle joint. Routine investigations indicated positive aetiology of tuberculous infection . Surgical curettage of the talus and, debridement were performed and a below knee POP cast was applied along with anti TB therapy. After 18 months postoperative , the patient was able to carry out his daily activities without pain .The ankle and foot are rarely affected and account for only 1% of all TB infections. Provisional diagnosis can be made through history and routine investigations but confirmation by the identification of the bacillus from the local lesion or by a histopathological examination of tissue. Talus tuberculosis should be considered in any long standing inflammatory pathology of the ankle. Debridement, Sequester, Tuberculosis.
Highlights
Tuberculosis is still a major health problem in many developing countries
Involvement of the musculo-skeletal system is only in 1-3% of all tuberculosis patients. It affects the spine followed by major weight bearing joints such as the hip and knee
Isolated tuberculosis of talus is very rare with only 12 cases reported far in the literature[1]
Summary
Involvement of the musculo-skeletal system is only in 1-3% of all tuberculosis patients. Most commonly, it affects the spine followed by major weight bearing joints such as the hip and knee. Isolated tuberculosis of talus is very rare with only 12 cases reported far in the literature[1]. We report a patient with isolated tuberculosis of the talus bone. A 14 year old boy presented with an 8 month history of swelling and pain in his left ankle joint. Weakness, and loss of weight were absent but there was a positive history of loss of appetite. On X-ray of the foot, an irregular lytic lesion of the affected part of the talus was seen (Fig. 1).
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