Mohamed Ben Jemaa*, Achraf Lajmi, Tarak Bardaa, Wajdi Bouaziz, Ameur Abid, Wassim Zribi, Moez Trigui, Kamel Ayadi, Mohamed Zribi and Hassib Keskes

Orthopedic Surgery Department, Habib Bourguiba University Hospital of Sfax, Tunisia

*Corresponding Author: Mohamed Ben Jemaa, Orthopedic Surgery Department, Habib Bourguiba University Hospital of Sfax, Tunisia.

Received: July 10, 2021; Published: September 06, 2021

Citation: Mohamed Ben Jemaa., et al. “Calcaneus Osteitis of the Child, A Rare Pediatric Case of Osteo-articular Tuberculosis". Acta Scientific Microbiology 5.10 (2021): 20-23.

Abstract

  Bone and joint tuberculosis is an extremely rare manifestation of extra-pulmonary tuberculosis. It is dominated by spinal locations. Unusual locations often pose a problem of diagnostic because of their atypical and non-specific clinical and radiological aspect. We report the case of a child aged 22 months, who consulted for left heel pain and swelling. Tuberculin skin test was positive. An osteolytic lesion invading all of the calcaneus was showed by the standard radiography of the ankle. Histological examination of surgical biopsy of the calcaneus bone found giant cell granuloma centered by caseous necrosis providing then the certainty of tuberculous origin. Anti-tubercular treatment was initiated. Evolution was favorable. After one year of follow-up, the child walk without lameness with a good bone reconstruction noted at the radiological control. Bone and joint tuberculosis of children is rare mainly in endemic area and poses several differential diagnoses.

Keywords: Calcaneus; Osteitis; Tuberculosis; Children

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Copyright: © 2021 Mohamed Ben Jemaa., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.