An interesting case report on calcaneal tuberculosis as a rare presentation of disseminated tuberculosis

Despite the high prevalence rate of tuberculosis infection in Malaysia, calcaneal tuberculosis (TB) is rare. In this article, we present a case of a 53-year-old Malay female who initially presented with left calcaneal swelling for 3 months. Surgical drainage was performed and affected calcaneal was...

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Bibliographic Details
Main Authors: Mohamed Shukor, Ahmad Zulkifli, Ahmad Affandi, Khairunisa, Zainulabid, Ummu Afeera
Format: Article
Language:English
Published: Bangladesh Infection Research Association 2023
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Online Access:http://irep.iium.edu.my/107576/7/107576_An%20interesting%20case%20report%20on%20calcaneal%20tuberculosis.pdf
http://irep.iium.edu.my/107576/
https://banglajol.info/index.php/BJID/article/view/68715/46446
https://doi.org/10.3329/bjid.v10i1.68715
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Summary:Despite the high prevalence rate of tuberculosis infection in Malaysia, calcaneal tuberculosis (TB) is rare. In this article, we present a case of a 53-year-old Malay female who initially presented with left calcaneal swelling for 3 months. Surgical drainage was performed and affected calcaneal was biopsied for histological examination which findings reported as consistent with tuberculosis infection. Further history revealed concomitant respiratory symptoms with the diagnosis of disseminated TB is supported by positive Mantoux test, detection of Acid-Fast bacilli in sputum and CT imaging showing lung and vertebral involvement. Anti-tuberculosis medication is the first line of treatment in calcaneal TB and surgery is usually reserved for patient with severe, intractable disease.