Yadav Sankalp, Rawal Gautam, Jeyaraman Madhan
Medicine, Shri Madan Lal Khurana Chest Clinic, New Delhi, IND.
Respiratory Medical Critical Care, Max Super Speciality Hospital, New Delhi, IND.
Cureus. 2023 Aug 6;15(8):e43049. doi: 10.7759/cureus.43049. eCollection 2023 Aug.
Tuberculosis affecting the smaller bones of the foot is relatively infrequent. There is a paucity of data related to the tubercular involvement of cuboid and metatarsal bones. Diagnosis is challenging, especially in the absence of pulmonary involvement, a history of trauma, and contact with tuberculosis. We present a rare case of primary tuberculosis of the cuboid and fifth metatarsal without pulmonary involvement. The patient was started on anti-tubercular chemotherapy. A detailed literature search revealed that no such case with concomitant involvement of the cuboid and fifth metatarsal without pulmonary seeding has ever been reported.
影响足部较小骨骼的结核病相对少见。关于骰骨和跖骨结核累及的数据较少。诊断具有挑战性,尤其是在没有肺部受累、外伤史以及无结核病接触史的情况下。我们报告一例罕见的原发性骰骨和第五跖骨结核,无肺部受累。患者开始接受抗结核化疗。详细的文献检索显示,从未有过骰骨和第五跖骨同时受累且无肺播散的此类病例报道。