ArticleJournal of family medicine and primary care2014
Ankle and foot tuberculosis: a diagnostic dilemma.
Article in Journal of family medicine and primary care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 30 citations in OpenAlex.
- Tuberculous Osteomyelitis of Calcaneum: A Rare Case.Cureus · 2024Article
- Navigating Foot Tuberculosis in a Leprosy Survivor: A Case Managed Solely With Medical Strategies.Cureus · 2024Article
- Diagnostic delay in ankle and foot tuberculosis resulting in tuberculoma and tuberculous meningitis in a middle-aged female: A case report.SAGE open medical case reports · 2024Article
- Tuberculosis of the Right Fifth Metatarsal and Fourth Web Space Without Pulmonary Involvement: A Rare Case.Cureus · 2023Article
- Tuberculosis presenting as arthritis of the ankle: A case report.SAGE open medical case reports · 2021Article
- Tubercular involvement of the lateral malleolus and adjacent calcaneus: presentation of a rare case and review of the literature.BMJ case reports · 2019Review
- Arthroscopic management for early-stage tuberculosis of the ankle.Journal of orthopaedic surgery and research · 2019Article
- A case of painful ankle swelling: Cytomorphological clues and pitfalls.CytoJournal · 2017Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
AIM AND
objectiveTo know the biological behavior of ankle and foot tuberculosis (AFTB) and to know the reasons for delay in diagnosis and treatment of AFTB in our population. MATERIALS AND
methodsPatients with non-healing ulcers/sinuses/swellings in the ankle and foot region are the subjects of present study. Detailed clinical history, physical examination and relevant investigations were done in all cases. Pus/wound discharge for acid fast bacillus (AFB) study and biopsy from wound margin/sinus tract was taken in all the cases.
resultsDuring the period from July 2007-June 2012, 20 cases of AFTB were treated. Out of them five cases were difficult to diagnose and a mean period of 6 month to 5year was elapsed before final diagnosis was established. Out of these five cases - three cases were diabetic with ulcers and sinuses in the heel and ankle region. One case was wrongly diagnosed as angiodysplasia with A-V malformation of foot and diagnosis was delayed for 5 year. In one case of rheumatoid arthritis with abscess in ankle joint, the diagnosis was delayed for 1year.
conclusionAFTB is very rare condition. AFTB is suspected in cases with long standing pain/swelling/discharging sinus in the foot and thorough investigations is must to differentiate from other foot diseases. Diagnosis is delayed due to lack of clinical suspicion and non-confirmatory biopsy reports. Early diagnosis and ATT for 9-18 months is must in all cases of AFTB to prevent joint involvement and other complications.
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