Calcaneal Osteomyelitis due to Non-tuberculous Mycobacteria: A Case Report.
10.5535/arm.2016.40.1.172
- Author:
Tae Im YI
1
;
Seung A HA
;
Yeo Reum CHOE
;
Joo Sup KIM
;
Kye Won KWON
Author Information
1. Department of Rehabilitation Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea. hsa12345@hanmail.net
- Publication Type:Case Report
- Keywords:
Osteomyelitis;
Nontuberculous mycobacteria;
Plantar fasciitis
- MeSH:
Abscess;
Bacteria;
Diagnosis;
Fasciitis, Plantar;
Female;
Follow-Up Studies;
Gram-Positive Cocci;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Nontuberculous Mycobacteria;
Osteomyelitis*;
Polymerase Chain Reaction;
Rehabilitation
- From:Annals of Rehabilitation Medicine
2016;40(1):172-176
- CountryRepublic of Korea
- Language:English
-
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.
