Case An 8-year old girl was presented in OPD with swelling, dull aching pain and unable to bear weight over left heel since four months. Further clinical investigations revealed following: Swelling was observed over the ball of calcaneum Local temperature was not raised, with absence of discharging sinus Inguinal lymph nodes were not palpable X-ray showed small lytic puctate lesions of various sizes in the metaphyseal region of calcaneum Raised ESR with lymphocytosis Histological investigations showed a presence of multiple tuberculous bacilli. Diagnosis of Tuberculosis of calcaneum was made.
Treatment Management Anti- Koch's treatment was started immediately Four drugs (HRZE) were prescribed for 12 months period Radiographs and blood tests were advised every 3 months The foot was protected in a below knee slab for 6 weeks. Initially, the non-weight bearing was advised. Later partial…
