Isolated Tuberculous Osteomyelitis of Calcaneus in an Immune-Competent Adult Patient With Literature Review: A Case Report.

Q4 Medicine JBJS case connector Pub Date : 2025-01-09 eCollection Date: 2025-01-01 DOI:10.2106/JBJS.CC.24.00413
Akhil Wadhawan, Mainak Mandal, Swati Gupta, Neeraj Nischal, Sumit Arora
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Abstract

Case: We present a case of isolated tuberculous osteomyelitis of the calcaneus in an immune-competent adult patient with a 5-year follow-up. The diagnosis was established by core needle aspiration and biopsy. He was treated with antituberculous chemotherapy and immobilization. The lesion healed with collapse of the calcaneal tuberosity that clinically resulted in shortening and heel valgus. A literature review is also presented.

Conclusion: Isolated tuberculous osteomyelitis of the calcaneus in an immune-competent adult patient is rare. It may pose diagnostic dilemma, and orthopaedist should work through the differential diagnosis.

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与跟骨分离结核性骨髓炎1例具有免疫能力的成人患者,文献复习:1例报告。
病例:我们提出一个病例孤立结核性骨髓炎的跟骨在一个免疫能力的成人患者与5年的随访。诊断是通过核心针穿刺和活检确定的。他接受了抗结核化疗和固定治疗。病变愈合与塌陷的跟骨结节,临床上导致缩短和足跟外翻。文献综述也提出。结论:孤立性跟骨结核性骨髓炎在具有免疫能力的成人患者中是罕见的。它可能造成诊断困境,骨科医生应通过鉴别诊断。
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来源期刊
JBJS case connector
JBJS case connector Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
319
期刊介绍: JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.
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