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Bone tuberculosis in calcaneus case report


MOJ Orthopedics & Rheumatology
Pedro I Carvallo,1 Luis Conde2

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Abstract

Osteoarticular extrapulmonary tuberculosis is an infrequent entity (16%), with extra vertebral involvement being even more rare. We present a clinical case of a 68-year-old male patient, with systemic arterial hypertension and chronic kidney disease, who presented with pain in the left hindfoot of one year of evolution, that has evolved torpidly, worsening after infiltration with steroids, presenting volume increase, functional limitation and ulcerative lesion with purulent exudate on the medial side. It is evaluated clinically and with imaging studies by diverse physicians and surgeons. An open biopsy and bone culture were performed, reporting as diagnosis: Bone tuberculosis, superinfected, in left calcaneus. Surgical treatment was performed, and antituberculosis treatment was started, the patient evolved satisfactorily in the immediate postoperative period, recovering joint mobility, without pain and decreased hindfoot volume.

Keywords

tuberculosis, extra pulmonary tuberculosis, bone tuberculosis, extravertebral tuberculosis, calcaneal tuberculosis

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