Isolated Talonavicular Joint Tuberculosis in a Child – Rare Location of Koch’s Bacillus: A Case Report

Tuberculosis of the foot is an uncommon entity and the reported incidence is 0.1% to 0.3%. The isolated tuberculosis of talonavicular joint is exceptionally rare. In tuberculosis of the foot and ankle, the presentation is usually nonspecific. The diagnosis of tuberculosis affecting foot is difficult...

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Main Authors: Mohd Faizan, Latif Z Jilani, Saifullah Khalid, Mazhar Abbas, Dilshad Anwar
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2017-01-01
Series:Iranian Journal of Medical Sciences
Subjects:
Online Access:http://ijms.sums.ac.ir/index.php/IJMS/article/view/1619
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author Mohd Faizan
Latif Z Jilani
Saifullah Khalid
Mazhar Abbas
Dilshad Anwar
author_facet Mohd Faizan
Latif Z Jilani
Saifullah Khalid
Mazhar Abbas
Dilshad Anwar
author_sort Mohd Faizan
collection DOAJ
description Tuberculosis of the foot is an uncommon entity and the reported incidence is 0.1% to 0.3%. The isolated tuberculosis of talonavicular joint is exceptionally rare. In tuberculosis of the foot and ankle, the presentation is usually nonspecific. The diagnosis of tuberculosis affecting foot is difficult, especially when it is isolated. In doubtful cases, diagnosis should be confirmed by histopathological examination. Unlike pulmonary Kochs, osteoarticular tuberculosis should be treated with antituberculous drugs for a longer duration, preferably for 18 months. We are reporting a case of a 9-year-old boy with tuberculosis of the isolated talonavicular joint and the diagnosis was suggested on plain radiography, which was further confirmed by histopathological examination. He was treated with first-line antitubercular drugs. A good recovery was seen following the commencement of anti-tuberculosis treatment. After two years of follow-up, he was pain-free and doing all of his routine activities. In tuberculosis of the foot, diagnosis is usually delayed or missed due to vague presentation.
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spelling doaj.art-ad6e6147fb8e4c68a8b1a06ea02194df2022-12-22T01:10:03ZengShiraz University of Medical SciencesIranian Journal of Medical Sciences0253-07161735-36882017-01-014218588Isolated Talonavicular Joint Tuberculosis in a Child – Rare Location of Koch’s Bacillus: A Case ReportMohd Faizan0Latif Z Jilani1Saifullah Khalid2Mazhar Abbas3Dilshad Anwar4Department of Orthopaedic Surgery, Jawahar Lal Nehru Medical College, Aligarh Muslim University, Aligarh, UP, IndiaDepartment of Orthopaedic Surgery, Jawahar Lal Nehru Medical College, Aligarh Muslim University, Aligarh, UP, IndiaDepartment of Radiodiagnosis, Jawahar Lal Nehru Medical College, Aligarh Muslim University, Aligarh, UP, IndiaDepartment of Orthopaedic Surgery, Jawahar Lal Nehru Medical College, Aligarh Muslim University, Aligarh, UP, IndiaDepartment of Orthopaedic Surgery, Jawahar Lal Nehru Medical College, Aligarh Muslim University, Aligarh, UP, IndiaTuberculosis of the foot is an uncommon entity and the reported incidence is 0.1% to 0.3%. The isolated tuberculosis of talonavicular joint is exceptionally rare. In tuberculosis of the foot and ankle, the presentation is usually nonspecific. The diagnosis of tuberculosis affecting foot is difficult, especially when it is isolated. In doubtful cases, diagnosis should be confirmed by histopathological examination. Unlike pulmonary Kochs, osteoarticular tuberculosis should be treated with antituberculous drugs for a longer duration, preferably for 18 months. We are reporting a case of a 9-year-old boy with tuberculosis of the isolated talonavicular joint and the diagnosis was suggested on plain radiography, which was further confirmed by histopathological examination. He was treated with first-line antitubercular drugs. A good recovery was seen following the commencement of anti-tuberculosis treatment. After two years of follow-up, he was pain-free and doing all of his routine activities. In tuberculosis of the foot, diagnosis is usually delayed or missed due to vague presentation.http://ijms.sums.ac.ir/index.php/IJMS/article/view/1619TuberculosisFootTalonavicular coalitionAntitubercular DrugsChild
spellingShingle Mohd Faizan
Latif Z Jilani
Saifullah Khalid
Mazhar Abbas
Dilshad Anwar
Isolated Talonavicular Joint Tuberculosis in a Child – Rare Location of Koch’s Bacillus: A Case Report
Iranian Journal of Medical Sciences
Tuberculosis
Foot
Talonavicular coalition
Antitubercular Drugs
Child
title Isolated Talonavicular Joint Tuberculosis in a Child – Rare Location of Koch’s Bacillus: A Case Report
title_full Isolated Talonavicular Joint Tuberculosis in a Child – Rare Location of Koch’s Bacillus: A Case Report
title_fullStr Isolated Talonavicular Joint Tuberculosis in a Child – Rare Location of Koch’s Bacillus: A Case Report
title_full_unstemmed Isolated Talonavicular Joint Tuberculosis in a Child – Rare Location of Koch’s Bacillus: A Case Report
title_short Isolated Talonavicular Joint Tuberculosis in a Child – Rare Location of Koch’s Bacillus: A Case Report
title_sort isolated talonavicular joint tuberculosis in a child rare location of koch s bacillus a case report
topic Tuberculosis
Foot
Talonavicular coalition
Antitubercular Drugs
Child
url http://ijms.sums.ac.ir/index.php/IJMS/article/view/1619
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AT saifullahkhalid isolatedtalonavicularjointtuberculosisinachildrarelocationofkochsbacillusacasereport
AT mazharabbas isolatedtalonavicularjointtuberculosisinachildrarelocationofkochsbacillusacasereport
AT dilshadanwar isolatedtalonavicularjointtuberculosisinachildrarelocationofkochsbacillusacasereport