Tuberculosis of navicular bone: An exceptional localization of osteoarticular tuberculosis

Osteoarticular tuberculosis (OAT) is defined by the set of pathological manifestations secondary to the attacks of osteoarticular structures of the locomotor system by the Bacillus of Koch (BK). We report a case of tuberculosis of the navicular bone, which is a rare location of OAT, on a female pati...

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Main Authors: Amine El Farhaoui, MD, Yassin Batou, MD, Kamal Benalia, MD, Adnane Lachkar, MD, Najib abdeljaouad, MD, Hicham Yacoubi, MD
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323000614
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author Amine El Farhaoui, MD
Yassin Batou, MD
Kamal Benalia, MD
Adnane Lachkar, MD
Najib abdeljaouad, MD
Hicham Yacoubi, MD
author_facet Amine El Farhaoui, MD
Yassin Batou, MD
Kamal Benalia, MD
Adnane Lachkar, MD
Najib abdeljaouad, MD
Hicham Yacoubi, MD
author_sort Amine El Farhaoui, MD
collection DOAJ
description Osteoarticular tuberculosis (OAT) is defined by the set of pathological manifestations secondary to the attacks of osteoarticular structures of the locomotor system by the Bacillus of Koch (BK). We report a case of tuberculosis of the navicular bone, which is a rare location of OAT, on a female patient who consulted for chronic pain (mixed appearance) evolving for more than 7 years and for whom we realized a radiological assessment based on standard radiography and magnetic resonance imaging and a biological assessment. The foot is rarely involved, accounting for about 10% of cases of osteoarticular tuberculosis. The diagnosis is often made at a late stage because osteoarticular tuberculosis is paucibacillary, and it is difficult to isolate or culture Koch's bacillus. Clinical manifestations are aspecific; pain and joint swelling are the 2 usual signs. Pain may be mechanical, inflammatory, or mixed. The standard radiography allows first to orient the diagnosis by the demonstration of a lytic process; a biological inflammatory syndrome and the magnetic resonance imaging allow to give more arguments in favor, then the biopsy comes to confirm the diagnosis. Tuberculosis of the navicular bone is a rare localization of OAT; its diagnosis is the same as well as the treatment.
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spelling doaj.art-59b4c48ac37e4c6dbed91d4751fbcff52023-04-01T08:46:06ZengElsevierRadiology Case Reports1930-04332023-05-0118519891992Tuberculosis of navicular bone: An exceptional localization of osteoarticular tuberculosisAmine El Farhaoui, MD0Yassin Batou, MD1Kamal Benalia, MD2Adnane Lachkar, MD3Najib abdeljaouad, MD4Hicham Yacoubi, MD5Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, Orthopedic Mohammed VI University Hospital Mohammed I University, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed First University, LAMCESM, Oujda, Morocco; Corresponding author.Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, Orthopedic Mohammed VI University Hospital Mohammed I University, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed First University, LAMCESM, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, Orthopedic Mohammed VI University Hospital Mohammed I University, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed First University, LAMCESM, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, Orthopedic Mohammed VI University Hospital Mohammed I University, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed First University, LAMCESM, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, Orthopedic Mohammed VI University Hospital Mohammed I University, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed First University, LAMCESM, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, Orthopedic Mohammed VI University Hospital Mohammed I University, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed First University, LAMCESM, Oujda, MoroccoOsteoarticular tuberculosis (OAT) is defined by the set of pathological manifestations secondary to the attacks of osteoarticular structures of the locomotor system by the Bacillus of Koch (BK). We report a case of tuberculosis of the navicular bone, which is a rare location of OAT, on a female patient who consulted for chronic pain (mixed appearance) evolving for more than 7 years and for whom we realized a radiological assessment based on standard radiography and magnetic resonance imaging and a biological assessment. The foot is rarely involved, accounting for about 10% of cases of osteoarticular tuberculosis. The diagnosis is often made at a late stage because osteoarticular tuberculosis is paucibacillary, and it is difficult to isolate or culture Koch's bacillus. Clinical manifestations are aspecific; pain and joint swelling are the 2 usual signs. Pain may be mechanical, inflammatory, or mixed. The standard radiography allows first to orient the diagnosis by the demonstration of a lytic process; a biological inflammatory syndrome and the magnetic resonance imaging allow to give more arguments in favor, then the biopsy comes to confirm the diagnosis. Tuberculosis of the navicular bone is a rare localization of OAT; its diagnosis is the same as well as the treatment.http://www.sciencedirect.com/science/article/pii/S1930043323000614Osteoarticular tuberculosisMid-footAntibacterial treatment, MRI bone
spellingShingle Amine El Farhaoui, MD
Yassin Batou, MD
Kamal Benalia, MD
Adnane Lachkar, MD
Najib abdeljaouad, MD
Hicham Yacoubi, MD
Tuberculosis of navicular bone: An exceptional localization of osteoarticular tuberculosis
Radiology Case Reports
Osteoarticular tuberculosis
Mid-foot
Antibacterial treatment, MRI bone
title Tuberculosis of navicular bone: An exceptional localization of osteoarticular tuberculosis
title_full Tuberculosis of navicular bone: An exceptional localization of osteoarticular tuberculosis
title_fullStr Tuberculosis of navicular bone: An exceptional localization of osteoarticular tuberculosis
title_full_unstemmed Tuberculosis of navicular bone: An exceptional localization of osteoarticular tuberculosis
title_short Tuberculosis of navicular bone: An exceptional localization of osteoarticular tuberculosis
title_sort tuberculosis of navicular bone an exceptional localization of osteoarticular tuberculosis
topic Osteoarticular tuberculosis
Mid-foot
Antibacterial treatment, MRI bone
url http://www.sciencedirect.com/science/article/pii/S1930043323000614
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