{"title":"Tuberculosis of the Cuboid: A Case Report.","authors":"Samriddhi Sarkar, Vishnu Harikrishnan, Shivam Sahu","doi":"10.7759/cureus.72974","DOIUrl":null,"url":null,"abstract":"<p><p>Tuberculosis (TB) is a major global health concern, with skeletal TB representing a small fraction of total cases. Foot involvement is relatively uncommon in skeletal TB, and infections of the cuboid bone are especially rare. This case report describes an 18-year-old male who presented with pain and swelling in the dorsolateral left midfoot. A CT-guided biopsy and histopathological examination confirmed necrotizing granulomatous inflammation due to Mycobacterium tuberculosis. The patient was treated with a six-month course of anti-tubercular therapy (ATT) and strict non-weight-bearing protocols, leading to significant symptom improvement. This report emphasizes the importance of histopathological confirmation in diagnosing rare forms of TB and supports existing treatment protocols.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":null,"pages":null},"PeriodicalIF":1.0000,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11533720/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cureus","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.7759/cureus.72974","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
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Abstract
Tuberculosis (TB) is a major global health concern, with skeletal TB representing a small fraction of total cases. Foot involvement is relatively uncommon in skeletal TB, and infections of the cuboid bone are especially rare. This case report describes an 18-year-old male who presented with pain and swelling in the dorsolateral left midfoot. A CT-guided biopsy and histopathological examination confirmed necrotizing granulomatous inflammation due to Mycobacterium tuberculosis. The patient was treated with a six-month course of anti-tubercular therapy (ATT) and strict non-weight-bearing protocols, leading to significant symptom improvement. This report emphasizes the importance of histopathological confirmation in diagnosing rare forms of TB and supports existing treatment protocols.
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