A Child presenting with Bilateral Tuberculous Osteomyelitis of Calcanei: A Case Report
Introduction:Osteoarticular tuberculosis represents 1.7-2% of all tuberculosis. The localization in the foot is rare and accounts for less than 10% of osteoarticular tuberculosis. The clinical observations of this case highlight the unusual bilateral skeletal involvement of tuberculosis.
Case Report: A case of a six year old male child presenting with swelling of both heels and discharging sinus is reported. Biopsy of the curetted material from both lesions revealed tuberculous nature. Patient was kept on conservative treatment of antitubercular drugs.
Conclusion: A high index of suspicion is mandatory for early diagnosis, prompt treatment and better clinical outcome.
Lamiae Chater, MounirArroud, MoulayAbderrahmaneAfifi. Tuberculosis of the calcaneus in children. International Journal of Mycobacteriology 3 (2014),57-59.
Tuli SM. In: Tuberculosis of the Skeletal System (Bones, Joints, Spine and Bursal Sheaths). 2ndEdn, Jaypee Brothers Medical Publishers (P) Ltd., New Delhi, 1997; 115.
Wilkinson M. C. The treatment of Bone and Joint Tuberculosis, Ann. R. Coll. Surg. Engl. 37:19, 1965.
Bosworth D. N. Treatment of bone and joint tuberculosis in children. J. Bone and Joint Surgery, 41-A, No. 7, 1959.
Shannon F. B. et al. Multifocal Cystic Tuberculosis of Bone. J. Bone and Joint Surgery, 72-A, 1089, 1990.
B. Swain, S. Mishra, K. Pattnaik, P. Dutta. Tuberculosis of Calcaneum: A case report. Ind. J. Tub. 2001, 48, 209-10.