ABSTRACT
Tuberculosis poses a considerable public health problem in countries where the disease is endemic. Osteoarticular tuberculosis represents 3-5â% of all tuberculosis cases and 10-15â% of extra-pulmonary tuberculosis cases. Involvement of the foot and ankle is rarer. We report a case of osteoarticular tuberculosis of the ankle in a 71-year-old patient with type 2 diabetes and hypertension who presented to the trauma department of the Mohammed V Military Hospital with a painful swelling of the ankle. Standard X-rays and computed tomography scans of the ankle showed inflammatory involvement of the bone and joints. Antitubercular therapy was instituted. Given the context of endemicity, any atypical presentation of lingering bone lesions should raise the suspicion of an osteoarticular tuberculosis in order to ensure early therapeutic management.
ABSTRACT
Urethritis may be acute or subacute and can be classified as gonococcal or nongonococcal. Nongonococcal urethritis is mainly dominated by Chlamydia trachomatis. Other bacteria such as Haemophilus influenzae have been implicated in some cases. We report the case of a 56-year-old diabetic man with H. influenzae urethritis following unprotected oral sex. The patient initially received treatment with ciprofloxacin, but this proved to be ineffective. Once our diagnosis was made, we switched the patient to cefixime for a period of seven days, which resulted in a successful clinical outcome.
