Malihy Zakaria, Benaissa Elmostafa, Ben Lahlou Yassine, Maleb Adil, Elouennass Mostafa
Department of Bacteriology, Mohammed V Military Teaching Hospital/Faculty of Medicine and Pharmacy (University Mohammed V), Rabat, Morocco.
Laboratory of Microbiology, Mohammed VI University Hospital/Faculty of Medicine and Pharmacy (University Mohammed the first), Oujda, Morocco.
Access Microbiol. 2023 Oct 25;5(10). doi: 10.1099/acmi.0.000654.v3. eCollection 2023.
Tuberculosis poses a considerable public health problem in countries where the disease is endemic. Osteoarticular tuberculosis represents 3-5 % of all tuberculosis cases and 10-15 % of extra-pulmonary tuberculosis cases. Involvement of the foot and ankle is rarer. We report a case of osteoarticular tuberculosis of the ankle in a 71-year-old patient with type 2 diabetes and hypertension who presented to the trauma department of the Mohammed V Military Hospital with a painful swelling of the ankle. Standard X-rays and computed tomography scans of the ankle showed inflammatory involvement of the bone and joints. Antitubercular therapy was instituted. Given the context of endemicity, any atypical presentation of lingering bone lesions should raise the suspicion of an osteoarticular tuberculosis in order to ensure early therapeutic management.
在结核病流行的国家,结核病构成了相当严重的公共卫生问题。骨关节结核占所有结核病病例的3-5%,占肺外结核病病例的10-15%。足部和踝关节受累较为罕见。我们报告一例71岁2型糖尿病和高血压患者的踝关节骨关节结核病例,该患者因踝关节疼痛肿胀就诊于穆罕默德五世军事医院创伤科。踝关节的标准X线和计算机断层扫描显示骨和关节有炎症累及。开始进行抗结核治疗。鉴于疾病流行的背景,任何持续存在的骨病变的非典型表现都应引起对骨关节结核的怀疑,以确保早期治疗管理。