Navicular tuberculosis: A rare localization of bone tuberculosis
Tuberculosis (TB) is a global public health problem endemic to Morocco. While extrapulmonary TB uncommonly presents in osteoarticular anatomic locations, tarsal or metatarsal osteitis can occur when TB presents in the tarsal bones. Clinical symptoms are often insidious causing a delay in diagnosis t...
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| Format: | Article |
| Language: | English |
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Elsevier
2015-01-01
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| Series: | IDCases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250915000207 |
| _version_ | 1818580975416770560 |
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| author | Abdelhay Lemnouer Mohammed Frikh Bouchra Belfquih Abdelwahab Jaafar Ayoub Bouya Mohamed Jidal Mustapha Boussouga Mostafa Elouennass |
| author_facet | Abdelhay Lemnouer Mohammed Frikh Bouchra Belfquih Abdelwahab Jaafar Ayoub Bouya Mohamed Jidal Mustapha Boussouga Mostafa Elouennass |
| author_sort | Abdelhay Lemnouer |
| collection | DOAJ |
| description | Tuberculosis (TB) is a global public health problem endemic to Morocco. While extrapulmonary TB uncommonly presents in osteoarticular anatomic locations, tarsal or metatarsal osteitis can occur when TB presents in the tarsal bones. Clinical symptoms are often insidious causing a delay in diagnosis that may lead to bone destruction. While diagnosis can be guided by X-ray imaging, bacteriologic and histologic examination of the tissue allows for pathogen isolation, identification of the bacillus and strain sensitivity to antibacillary treatment.
We report a rare case of navicular osteitis associated with tarso-metatarsal arthritis caused by tuberculosis in a 68-year-old man. This case illustrates an exceptional location of osteoarticular TB and support diagnostic difficulties encountered: (i) imaging is not specific; (ii) lesions are paucibacillary which reduces conventional microbiological methods sensitivity and (iii) the peripheral location of the Koch bacillus within the lesion dictates surgical biopsy than percutaneous puncture. We recommend testing for tuberculosis in any case of chronic osteolysis and/or arthritis of the foot, especially in TB endemic countries. |
| first_indexed | 2024-12-16T07:26:08Z |
| format | Article |
| id | doaj.art-9b9fe06d87124caab142e69172048ba1 |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-12-16T07:26:08Z |
| publishDate | 2015-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-9b9fe06d87124caab142e69172048ba12022-12-21T22:39:30ZengElsevierIDCases2214-25092015-01-0123808210.1016/j.idcr.2015.08.002Navicular tuberculosis: A rare localization of bone tuberculosisAbdelhay Lemnouer0Mohammed Frikh1Bouchra Belfquih2Abdelwahab Jaafar3Ayoub Bouya4Mohamed Jidal5Mustapha Boussouga6Mostafa Elouennass7Department of Bacteriology, University Mohammed V, Faculty of Medicine and Pharmacy, Military Hospital of Instruction Mohammed V Rabat, Rabat, MoroccoDepartment of Bacteriology, University Mohammed V, Faculty of Medicine and Pharmacy, Military Hospital of Instruction Mohammed V Rabat, Rabat, MoroccoDepartment of Bacteriology, University Mohammed V, Faculty of Medicine and Pharmacy, Military Hospital of Instruction Mohammed V Rabat, Rabat, MoroccoDepartment of Orthopedics, Military Hospital of Instruction Mohammed V, Rabat, MoroccoDepartment of Orthopedics, Military Hospital of Instruction Mohammed V, Rabat, MoroccoDepartment of Radiology, Military Hospital of Instruction Mohammed V, Rabat, MoroccoDepartment of Orthopedics, Military Hospital of Instruction Mohammed V, Rabat, MoroccoDepartment of Bacteriology, University Mohammed V, Faculty of Medicine and Pharmacy, Military Hospital of Instruction Mohammed V Rabat, Rabat, MoroccoTuberculosis (TB) is a global public health problem endemic to Morocco. While extrapulmonary TB uncommonly presents in osteoarticular anatomic locations, tarsal or metatarsal osteitis can occur when TB presents in the tarsal bones. Clinical symptoms are often insidious causing a delay in diagnosis that may lead to bone destruction. While diagnosis can be guided by X-ray imaging, bacteriologic and histologic examination of the tissue allows for pathogen isolation, identification of the bacillus and strain sensitivity to antibacillary treatment. We report a rare case of navicular osteitis associated with tarso-metatarsal arthritis caused by tuberculosis in a 68-year-old man. This case illustrates an exceptional location of osteoarticular TB and support diagnostic difficulties encountered: (i) imaging is not specific; (ii) lesions are paucibacillary which reduces conventional microbiological methods sensitivity and (iii) the peripheral location of the Koch bacillus within the lesion dictates surgical biopsy than percutaneous puncture. We recommend testing for tuberculosis in any case of chronic osteolysis and/or arthritis of the foot, especially in TB endemic countries.http://www.sciencedirect.com/science/article/pii/S2214250915000207TuberculosisBoneTarso-metatarsalNavicular osteitis |
| spellingShingle | Abdelhay Lemnouer Mohammed Frikh Bouchra Belfquih Abdelwahab Jaafar Ayoub Bouya Mohamed Jidal Mustapha Boussouga Mostafa Elouennass Navicular tuberculosis: A rare localization of bone tuberculosis IDCases Tuberculosis Bone Tarso-metatarsal Navicular osteitis |
| title | Navicular tuberculosis: A rare localization of bone tuberculosis |
| title_full | Navicular tuberculosis: A rare localization of bone tuberculosis |
| title_fullStr | Navicular tuberculosis: A rare localization of bone tuberculosis |
| title_full_unstemmed | Navicular tuberculosis: A rare localization of bone tuberculosis |
| title_short | Navicular tuberculosis: A rare localization of bone tuberculosis |
| title_sort | navicular tuberculosis a rare localization of bone tuberculosis |
| topic | Tuberculosis Bone Tarso-metatarsal Navicular osteitis |
| url | http://www.sciencedirect.com/science/article/pii/S2214250915000207 |
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