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...
Main Authors: | , , , , |
---|---|
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 |
_version_ | 1828491124935753728 |
---|---|
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. |
first_indexed | 2024-12-11T10:56:02Z |
format | Article |
id | doaj.art-ad6e6147fb8e4c68a8b1a06ea02194df |
institution | Directory Open Access Journal |
issn | 0253-0716 1735-3688 |
language | English |
last_indexed | 2024-12-11T10:56:02Z |
publishDate | 2017-01-01 |
publisher | Shiraz University of Medical Sciences |
record_format | Article |
series | Iranian Journal of Medical Sciences |
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 |
work_keys_str_mv | AT mohdfaizan isolatedtalonavicularjointtuberculosisinachildrarelocationofkochsbacillusacasereport AT latifzjilani isolatedtalonavicularjointtuberculosisinachildrarelocationofkochsbacillusacasereport AT saifullahkhalid isolatedtalonavicularjointtuberculosisinachildrarelocationofkochsbacillusacasereport AT mazharabbas isolatedtalonavicularjointtuberculosisinachildrarelocationofkochsbacillusacasereport AT dilshadanwar isolatedtalonavicularjointtuberculosisinachildrarelocationofkochsbacillusacasereport |