Isolated tuberculosis of talus without ankle and subtalar joint involvement.
This case has been reported because of its rarity and atypical clinical presentation. An 8-year-old boy presented with a gradually increasing swelling localised on the antero-medial aspect of the foot haemogram, erythrocyte sedimentation rate (ESR), Mantoux and X-ray chest were normal. An irregular lytic lesion of the talus was seen on the x-ray of the affected part. Ziehl Nelson staining of the aspirated fluid revealed acid-fast bacilli. Material obtained after curettage and bone grafting was sent for histopathological examination which confirmed the diagnosis of tuberculosis. Post operatively a below knee cast was given for 12 weeks and anti tubercular treatment was given for 20 months. At the end of the treatment patient had full and painless motion at the ankle and subtalar joint. The lytic lesion had healed on X-ray.
Anand
A
A
Department of Orthopedics, Lady Hardinge Medical College and Associated Hospitals, New Delhi-110001, India.
Sood
L K
LK
D000842:Ankle / Q000000981:diagnostic imaging* / Q000382:microbiology*; D000843:Ankle Joint / Q000000981:diagnostic imaging* / Q000382:microbiology*; D002648:Child; D006801:Humans; D008297:Male; D011859:Radiography; D013628:Talus / Q000000981:diagnostic imaging* / Q000382:microbiology*; D014394:Tuberculosis, Osteoarticular / Q000000981:diagnostic imaging* / Q000382:microbiology*