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  • The Internet Journal of Surgery
  • Volume 22
  • Number 1

Original Article

Tuberculosis of the sole of the foot: a rare clinical entity.

J Patel, Shrivastav

Keywords

anti-tubercular drug., tuberculosis of sole of foot

Citation

J Patel, Shrivastav. Tuberculosis of the sole of the foot: a rare clinical entity.. The Internet Journal of Surgery. 2009 Volume 22 Number 1.

Abstract
 

An 18-year-old male patient presented to the surgical out-patient department with a history of a swelling of the right foot sole for one year, gradually increasing in size. On examination there was a 10x8x2cm growth over the right foot sole with multiple papillary projections throughout the surface of the growth and watery discharge. The inguinal lymph nodes were not palpable.

INVESTIGATION: Hb 11 g%, Tc 11000/cumm (N 65, L 35, B 0, M 0) ESR 40 mm/hour, chest x-ray: PROVISIONAL DIAGNOSIS: VERRUCOUS CARCINOMA or WARTY TUBERCULOSIS.

The wedge biopsy from the lesion was suggestive of cutaneous tuberculosis. Tuberculosis of sole of foot is a rare entity even in developing countries. Diagnosis of tuberculosis requires a high index of suspicion. All cases of tuberculosis usually respond very well to anti-tubercular treatment.

Figure 1
Figures 1 and 2: Tuberculosis of the foot

References

1. Pomeranz M Keltz, Philip Orbuch, Jerome Shupack, RenaBrand. Mycobacteria and skin. In: Tuberculosis, 1st edition, 1996; 51: 657-667. Eds. William M Rom, Stuart Garay. Little Brown Company, London.
2. Gruber PC; Whittam LR; du Vivier A. Tuberculosis verrucosa cutis on the sole of the foot. CME Clin Exp Dermatol 2002; 27(3): 188-191 (ISSN: 0307-6938).
3. Mehregan Amir H. Predominantly mononuclear granulomas. In: Pinkus Guide to Dermatohistopathology, 4th edition, 1986; 21: 254-55. Appleton Century Crofts, Connecticut.
4. Singh G. Lupus vulgaris in India. Ind J Dermatol, Venereol & Leprology 1974; 40: 257-260.
5. William D Travis, Emmanuel Rubin, John L Farber. The Respiratory System. In: Pathology, 3rd ed. Eds. Emmanuel Rubin, ohn L Farber. Lippincott-Raven Philadelphia, 1999; pp. 606-607.

Author Information

Jayesh Patel, MBBS, MS.
Assistant Professor, PramukhSwami Medical College, Shri Krishna Hospital

Shrivastav, MBBS, M.S., HOD
Surgery Department,, PramukhSwami Medical College

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