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2023, Number 3

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Ortho-tips 2023; 19 (3)

Calcaneal tuberculosis in infants. Report of a case

Soriano MJL, Cervantes GJE

Language: Spanish
References: 22
Page: 175-181
PDF size: 293.78 Kb.


ABSTRACT

Introduction: osteoarticular tuberculosis represents 1.7% of all infections secondary to M. tuberculosis, of which 10% occur in the foot and ankle bones, with the calcaneus being the most frequently affected (45%). Objective: to report the clinical case of a nursing patient with a diagnosis of osteomyelitis of the calcaneus secondary to an infection by M. tuberculosis and a review of the literature. Clinical case: nursing patient (one year and 5 months old) who gradually presented pain, increased volume and functional limitation at the level of the left ankle and hindfoot, with radiographic findings suggestive of calcaneal osteomyelitis with subtalar joint involvement, which did not present clinical improvement to conventional antibiotic and surgical treatment for common etiological agents for osteomyelitis in this age group, for which a GenXpert test of exudate from the subtalar and calcaneal joint was performed with a positive result for M. tuberculosis, with subsequent initiation of treatment using Dotbal therapy in the intensive phase and surgical debridement associated with the placement of Stimulant Past Mass with ciprofloxacin with immediate clinical improvement. Conclusions: in all osteomyelitis of the calcaneus, the main objective for making an adequate diagnosis is the isolation of the causal agent. At present, it is still valid in our environment to intentionally search for the presence of tubercle bacillus through a GenXpert test.


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