Sarkar Samriddhi, Harikrishnan Vishnu, Sahu Shivam
Department of Orthopedics, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pondicherry, IND.
Cureus. 2024 Nov 4;16(11):e72974. doi: 10.7759/cureus.72974. eCollection 2024 Nov.
Tuberculosis (TB) is a major global health concern, with skeletal TB representing a small fraction of total cases. Foot involvement is relatively uncommon in skeletal TB, and infections of the cuboid bone are especially rare. This case report describes an 18-year-old male who presented with pain and swelling in the dorsolateral left midfoot. A CT-guided biopsy and histopathological examination confirmed necrotizing granulomatous inflammation due to Mycobacterium tuberculosis. The patient was treated with a six-month course of anti-tubercular therapy (ATT) and strict non-weight-bearing protocols, leading to significant symptom improvement. This report emphasizes the importance of histopathological confirmation in diagnosing rare forms of TB and supports existing treatment protocols.
结核病(TB)是全球主要的健康问题,骨结核仅占所有病例的一小部分。足部受累在骨结核中相对少见,骰骨感染尤为罕见。本病例报告描述了一名18岁男性,他出现左足背外侧中足部疼痛和肿胀。CT引导下活检及组织病理学检查证实为结核分枝杆菌引起的坏死性肉芽肿性炎症。患者接受了为期六个月的抗结核治疗(ATT)并严格遵循不负重方案,症状得到显著改善。本报告强调了组织病理学确诊在诊断罕见类型结核病中的重要性,并支持现有的治疗方案。