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Isolated Tuberculosis of Ankle Joint: A Rare Report

Asian Journal of Pharmaceutical and Health Sciences,2017,7,1,1639-1642.
Published:March 2017
Type:Case Report
Authors:
Author(s) affiliations:

Rudrajit Paul1,* Gautam Lahiri1, Debaditya Roy1, Indranil Thakur1, TJ Sau, Kunal Haldar1, Ayandip Nand2

1Department of Medicine, Medical College Kolkata, College Street, College Square, Kolkata, West Bengal, India.

2Department of Pathology, Medical College Kolkata, West Bengal, India.

 

Abstract:

Isolated tuberculosis of any joint is a rare entity and often mimics other conditions. Thus, diagnosis and timely treatment is often delayed in these cases. We here report a case of tuberculosis of synovial tissue of ankle in a 46 year old female. She had suffered for ten years prior to the diagnosis. The diagnosis was confirmed by MRI study of the joint and needle biopsy from the thickened synovium. Relevant literature pertaining to tubercular arthritis has also been reviewed at length.

Synovial biopsy specimen showing caseous granuloma (A) and Langhans Giant cells (B)