Yadav Sankalp, Rawal Gautam, Jeyaraman Madhan
Medicine, Shri Madan Lal Khurana Chest Clinic, New Delhi, IND.
Respiratory Medicine, Max Super Speciality Hospital, New Delhi, IND.
Cureus. 2023 Jun 26;15(6):e41008. doi: 10.7759/cureus.41008. eCollection 2023 Jun.
Osteomyelitis caused by is a rare entity. This clinical condition is even rarer when the bones of extremities like the foot are involved. There is a paucity of literature on the isolated tubercular involvement of the bones of the foot. Further, congenital hallux valgus is an infrequently reported condition. A case of tuberculosis of the first metatarsal of the left foot with congenital hallux valgus without pulmonary involvement is never reported in the literature. We herein present a first of its type case where tuberculous osteomyelitis of the first metatarsal of the left foot with congenital hallux valgus was diagnosed with the help of radiology, cartridge-based nucleic acid amplification test, and pus culture. The patient was initiated on anti-tubercular treatment but was ultimately lost to follow-up.
由[具体病因未提及]引起的骨髓炎是一种罕见病症。当足部等四肢骨骼受累时，这种临床情况更为罕见。关于足部骨骼单纯结核感染的文献较少。此外，先天性拇外翻是一种报道较少的病症。文献中从未报道过一例左足第一跖骨结核合并先天性拇外翻且无肺部受累的病例。我们在此呈现首例此类病例，通过放射学、基于试剂盒的核酸扩增检测和脓液培养诊断出左足第一跖骨结核性骨髓炎合并先天性拇外翻。该患者开始接受抗结核治疗，但最终失访。
