Tuberculosis of Navicular Bone - A Rare Presentation.

ABSTRACT

INTRODUCTION: Tuberculosis of Navicular bone is a rare entity. Osteoarticular tuberculosis of foot is uncommon and that of navicular bone is extremely rare. It is important to recognize skeletal tuberculosis in the initial stages as early treatment can effectively eliminate long-term morbidity. CASE PRESENTATION A 42 yrs old male presented to OPD with swelling and dull aching pain over dorsum of left foot. Radiograph of foot showed lytic puctate lesion in the navicular bone. Further investigations in the form of aspiration biopsy and ZN staining showed presence of multiple tuberculous bacilli. Anti-Kochs treatment was started immediately and patient was treated conservatively. Four drugs (HRZE) were given for a period of 12 months. Radiographs at 2 years follow-up showed a healed lesion. CONCLUSION: TB navicular bone is a very rare condition and can be treated conservatively unless associated with metastatic changes or any other complications. Conservative treatment with AKT has excellent results without any complications.