Médecine et chirurgie du pied


Tuberculosis of the bones of the foot: Two case studies Volume 30, issue 2, Juin 2014


We are reporting on two cases of tuberculosis of the bones of the foot, one located in the navicular cuneiform, intercuneiform, navicular cuboid and tarsometatarsal joints and the other in the fourth metatarsal. The clinical signs are often misleading and should be complemented by additional investigations (X-rays, CT scans and MRI). A biopsy is crucial in confirming the tuberculosis diagnosis. Antituberculosis treatment is effective and should be continued for nine months. It is beneficial to note that any persistent clinical symptoms or suspect bone lesion with an atypical presentation should be treated as a tuberculosis diagnosis in order to avoid any delays in diagnosis that could result in functional complications.