Chiu Yen-Chun, Yang Shih-Chieh, Wu Chin-Hsien, Chuang Hao-Wen, Tu Yuan-Kun, Ma Ching-Hou
Departments of Orthopaedic Surgery (Y.-C.C., S.-C.Y., C.-H.W., Y.-K.T., and C.-H.M.) and Pathology (H.-W.C.), E-Da Hospital, I-Shou University, Taiwan, Republic of China.
JBJS Case Connect. 2017 Jul-Sep;7(3):e56. doi: 10.2106/JBJS.CC.16.00273.
We present the case of a 51-year-old immunocompetent man with refractory heel pain who initially had been treated for plantar fasciitis. However, the pain was proven to be caused by a Mycobacterium abscessus infection of the calcaneus. The process of diagnosis and treatment is described.
Although rare, chronic heel pain can be caused by an atypical mycobacterial infection of the calcaneus. Because of its indolent clinical course, misdiagnosis is not uncommon with calcaneal osteomyelitis. Physicians should note that this rare infection should be considered in patients with refractory heel pain.
我们报告一例51岁免疫功能正常的男性，患有难治性足跟痛，最初被诊断为足底筋膜炎并接受治疗。然而，最终证实疼痛是由跟骨脓肿分枝杆菌感染引起的。本文描述了诊断和治疗过程。
尽管罕见，但慢性足跟痛可能由跟骨非典型分枝杆菌感染引起。由于其临床病程隐匿，跟骨骨髓炎的误诊并不少见。医生应注意，对于难治性足跟痛患者，应考虑这种罕见感染的可能性。
