title: Poncet's disease (tubercular rheumatism) with primary involvement of the foot - A case report.
abstract: We present a rare case with primary tubercular involvement of the foot, accomapanied by a reactionary (aseptic) effusion in the knee. The diagnosis was delayed due to unusual presentation and also because of failure to elicit a detailed history. Incision and drainage of the foot abscess and antitubercular drug therapy resulted in satisfactory control of tubercular infection. Polyarticular presentation may not always signify active tubercular focus in every joint; it may reflect reactive synovitis known as Poncet's disease, which resolves with multidrug antitubercular therapy.A multidispilinary approach should be adopted and chest physicians, rheumatologists and orthopaedic surgeons should work in close association to correctly diagnose and treatthis condition.
authors: Trauma & Orthopaedics, King's College Hospital NHS Foundation Trust, London, United Kingdom.
authors: Saif
authors: S
authors: Sait
authors: Department of General Surgery, Mayo Institute of Medical Sciences, Safedabad, Lucknow, India.
authors: Mohd
authors: M
authors: Mubashir
authors: Department of Orthopaedic Surgeon, Pilgrim Hospital, Boston, Lincolnshire, United Kingdom. Electronic address: rahijanwar@hotmail.com.
authors: Rahij
authors: R
authors: Anwar
authors: Emergency Department, Holbaek Hospital Denmark.
authors: Nissa
authors: N
authors: Khan
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use*; D016918:Arthritis, Reactive / Q000000981:diagnostic imaging* / Q000188:drug therapy; D004322:Drainage / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D033023:Foot Joints / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging* / Q000503:physiopathology; D008279:Magnetic Resonance Imaging / Q000379:methods; D009169:Mycobacterium tuberculosis / Q000187:drug effects / Q000302:isolation & purification*; D035583:Rare Diseases; D018570:Risk Assessment; D016896:Treatment Outcome; D014394:Tuberculosis, Osteoarticular / Q000000981:diagnostic imaging* / Q000188:drug therapy; D055815:Young Adult
chemical_list: D000995:Antitubercular Agents
keywords: Foot tuberculosis; Knee synovitis; Poncet's disease; Tubercular rheumatism