Alrefeidi Tareq A, Alahmari Ali M
Orthopedic Surgery, Armed Forces Hospital Southern Region, Khamis Mushayt, SAU.
Orthopedic Surgery, King Abdullah Medical City, Mecca, SAU.
Cureus. 2021 Mar 18;13(3):e13962. doi: 10.7759/cureus.13962.
Osteoarticular tuberculosis (TB) of the ankle joint is rare, and there is a delay in diagnosis in most cases. All patients with the disease complained of swelling and pain in the affected ankle. Ankle TB is a disorder that can be simply misdiagnosed. The delay in diagnosis may range from months up to years. All patients in this series had already been diagnosed with ankle TB by the time they visited our hospital. The current case was reported in a middle-aged male nurse with ankle pain, ulcer, and limited range of movement. The classical clinical manifestations of TB were absent on free chest radiography. Ulcer biopsy showed TB infection with no lymph nodes. Nonspecific inflammation was initially treated, but, subsequently, anti-TB treatment was useful.
踝关节骨关节炎性结核较为罕见，多数病例存在诊断延误的情况。所有患该疾病的患者均主诉患侧踝关节肿胀和疼痛。踝关节结核是一种容易被误诊的病症。诊断延误时间可能从数月至数年不等。本系列中的所有患者在就诊我院时均已被诊断为踝关节结核。本病例报告的是一名中年男性护士，其踝关节疼痛、有溃疡且活动范围受限。胸部X线平片未显示出典型的结核病临床表现。溃疡活检显示为结核感染，无淋巴结受累。最初进行了非特异性炎症治疗，但随后抗结核治疗有效。
