[Tuberculous osteoarthritis of the foot in the diabetic: not unrecognize this diagnostic trap. About one case].
Osteoarticular tuberculosis is the fourth leading extrapulmonary localization of tuberculosis. The disease has a progressive course and is often diagnosed in the stage of bone destruction, causing an important diagnostic problem in diabetics with nervous osteoarthropathy. We report the case of a 23-year-old patient with multicomplicated diabetes type 1, treated for pulmonary tuberculosis who consulted after a trauma distended the left ankle. Bone biopsy was performed because of the diagnostic doubt between diabetes and infectious osteoarthropathy. Pathology reported active tuberculosis. Osteoarticular tuberculosis is still a severe disease because of the functional prognosis that requires early diagnosis, a difficult task in some conditions particularly in the diabetic where the disease may mimic nervous osteoarthropathy. Bone biopsy should be performed if there is a doubt.
Hassani
R
R
Service d'Endocrinologie et Maladies Métaboliques CHU Ibn Rochd, Casablanca, Maroc.
Chadli
A
A
Marouan
F
F
D000328:Adult; D000842:Ankle; D001706:Biopsy; D001842:Bone and Bones / Q000382:microbiology / Q000473:pathology; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010003:Osteoarthritis / Q000382:microbiology* / Q000473:pathology; D014376:Tuberculosis / Q000175:diagnosis*