Rando Maria Margherita, De Matteis Giuseppe, Gessi Marco, Bartoli Matteo, Galli Marco, Gambassi Giovanni
Department of Internal and Emergency Medicine, Catholic University of the Sacred Heart School of Medicine, Rome, Italy.
Division of Histopathology, Catholic University of the Sacred Heart School of Medicine, Rome, Italy.
Eur J Case Rep Intern Med. 2018 Jun 26;5(6):000870. doi: 10.12890/2018_000870. eCollection 2018.
Tuberculosis (TB) is an infectious disease caused by the s complex (MTBC). Pulmonary TB is the most common form of presentation, but extrapulmonary tuberculosis (EPTB) contributes significantly to morbidity and mortality. Rarely, patients with EPTB develop a form of ankle or foot arthritis. The diagnosis of TB arthritis is often overlooked because of the insidious onset and the non-specific clinical symptoms. Prognosis is generally poor; early diagnosis and delivery of the most appropriate treatment is critical to avoid functional disability.
Tuberculous arthritis of the ankle has high morbidity but often goes undiagnosed.Tuberculous arthritis of the ankle can lead to degenerative changes in the bone and articular cartilage and even to joint collapse.Timely diagnosis and correct treatment are important to avoid functional disability.
结核病（TB）是由结核分枝杆菌复合群（MTBC）引起的一种传染病。肺结核是最常见的表现形式，但肺外结核（EPTB）对发病率和死亡率有显著影响。很少有EPTB患者会发展为踝关节或足部关节炎的形式。由于发病隐匿且临床症状不具特异性，结核性关节炎的诊断常常被忽视。预后通常较差；早期诊断并给予最恰当的治疗对于避免功能残疾至关重要。
踝关节结核发病率高，但常常未被诊断出来。踝关节结核可导致骨骼和关节软骨的退行性改变，甚至关节塌陷。及时诊断和正确治疗对于避免功能残疾很重要。
