Foot ulcer caused by multidrug-resistant Mycobacterium tuberculosis in a diabetic patient.
Osteoarticular tuberculosis is the fourth leading type of extrapulmonary tuberculosis. The disease has a progressive course and the diagnosis is often made in the later stages of bone destruction. We describe a case of a foot ulcer caused by drug-resistant Mycobacterium tuberculosis in a patient with known diabetes where the diagnosis was not suspected initially. Although tuberculous foot ulcers are rare, they should be included in the differential diagnosis of unknown foot ulcers. A greater awareness of this rare clinical entity may help in commencing specific evidence-based therapy quickly and preventing undue morbidity and mortality.
Baveja
C P
CP
Department of Microbiology, Maulana Azad Medical College, New Delhi, India.
Gumma
Vidya Nidhi
VN
Department of Microbiology, Maulana Azad Medical College, New Delhi, India.
Jain
Manisha
M
Department of Microbiology, G.B. Pant Hospital, New Delhi, India.
Jha
Himanshu
H
Department of Microbiology, Maulana Azad Medical College, New Delhi, India.
D000995:Antitubercular Agents / Q000494:pharmacology / Q000627:therapeutic use; D048909:Diabetes Complications / Q000382:microbiology*; D024901:Drug Resistance, Multiple, Bacterial; D005260:Female; D005528:Foot / Q000473:pathology; D016523:Foot Ulcer / Q000382:microbiology*; D006801:Humans; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000187:drug effects* / Q000302:isolation & purification; D018088:Tuberculosis, Multidrug-Resistant / Q000175:diagnosis* / Q000382:microbiology; D014394:Tuberculosis, Osteoarticular / Q000175:diagnosis* / Q000382:microbiology
D000995:Antitubercular Agents