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Calcaneal Osteomyelitis due to Non-tuberculous Mycobacteria: A Case Report
Annals of Rehabilitation Medicine ; : 172-176, 2016.
Article in English | WPRIM | ID: wpr-223560
ABSTRACT
Osteomyelitis is a bone infection caused by bacteria or other germs. Gram-positive cocci are the most common etiological organisms of calcaneal osteomyelitis; whereas, non-tuberculous mycobacteria (NTM) are rarely documented. We reported a case of NTM calcaneal osteomyelitis in a 51-year-old female patient. She had been previously treated in many local clinics with multiple local steroid injection over 50 times and extracorporeal shock-wave therapy over 20 times with the impression of plantar fasciitis for 3 years prior. Diagnostic workup revealed a calcaneal osteomyelitis and polymerase chain reaction assay on bone aspirate specimens confirmed the diagnosis of non-tuberculous mycobacterial osteomyelitis. The patient had a partial calcanectomy with antitubercular therapy. Six months after surgery, a follow-up magnetic resonance imaging showed localized chronic osteomyelitis with abscess formation. We continued anti-tubercular therapy without operation. At 18-month follow-up after surgery and comprehensive rehabilitation therapy, she was ambulating normally and able to carry out her daily activities without any discomfort.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Osteomyelitis / Rehabilitation / Bacteria / Magnetic Resonance Imaging / Polymerase Chain Reaction / Follow-Up Studies / Gram-Positive Cocci / Fasciitis, Plantar / Diagnosis / Abscess Type of study: Diagnostic study / Observational study / Prognostic study Limits: Female / Humans Language: English Journal: Annals of Rehabilitation Medicine Year: 2016 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Osteomyelitis / Rehabilitation / Bacteria / Magnetic Resonance Imaging / Polymerase Chain Reaction / Follow-Up Studies / Gram-Positive Cocci / Fasciitis, Plantar / Diagnosis / Abscess Type of study: Diagnostic study / Observational study / Prognostic study Limits: Female / Humans Language: English Journal: Annals of Rehabilitation Medicine Year: 2016 Type: Article