An exceptional location of tuberculous arthritis: The metatarsal phalangeal joint | Zendy

Mohamed Ali Sbai | Zendy; Sofien Benzarti | Zendy; Wafa Gharbi | Zendy; Wadia Khoffi | Zendy; Riadh Maalla | Zendy; Adel Khorbi | Zendy

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An exceptional location of tuberculous arthritis: The metatarsal phalangeal joint

Author(s) -

Mohamed Ali Sbai,

Sofien Benzarti,

Wafa Gharbi,

Wadia Khoffi,

Riadh Maalla,

Adel Khorbi

Publication year - 2016

Publication title -

international journal of mycobacteriology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.53

H-Index - 20

eISSN - 2212-554X

pISSN - 2212-5531

DOI - 10.1016/j.ijmyco.2016.05.002

Subject(s) - medicine , tuberculosis , gout , osteoarthritis , dorsum , surgery , differential diagnosis , medical diagnosis , biopsy , metatarsophalangeal joints , dermatology , radiology , pathology , anatomy , alternative medicine

Osteoarticular tuberculosis is a rare type of tuberculosis. The spine is the most frequent location, while peripheral locations in the limbs are rare. We report a case of tuberculous osteoarthritis of the metatarsophalangeal joint of the first ray of the foot in a 48-year-old woman. The patient presented with painful swelling of the dorsum of the big toe, insidiously evolving for 6months. Diagnosis was obtained with histological study after surgical biopsy. Antitubercular chemotherapy for 12months promoted healing. Through this clinical case the authors describe the epidemiological, diagnostic features, and treatment of osteoarticular tuberculosis and discuss the causes of delayed diagnosis often encountered in these exceptional locations and differential diagnoses, gout in particular, for this particular case.

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