Mycobacterium tuberculosis infection of a presumed Charcot joint.
A 65-year-old male with peripheral neuropathy and small lymphocytic lymphoma presented with erythema and edema of the left foot. A Charcot midfoot was diagnosed and treated with a total contact cast and restricted weight bearing. However, subsequent analysis of bone and synovial fluid months later revealed Mycobacterium tuberculosis infection.
Okulicz
Jason F
JF
Department of Internal Medicine,Wilford Hall Medical Center, Lackland Air Force Base, Texas 78236, USA. jason.okulicz@lackland.af.mil
Lloyd
Bradley A
BA
Krause
John O
JO
Conger
Nicholas G
NG
D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D001177:Arthropathy, Neurogenic / Q000175:diagnosis*; D003951:Diagnostic Errors; D004359:Drug Therapy, Combination; D016523:Foot Ulcer / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000150:complications; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D010523:Peripheral Nervous System Diseases / Q000150:complications; D013582:Synovial Fluid / Q000382:microbiology; D014394:Tuberculosis, Osteoarticular / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*
D000995:Antitubercular Agents