Abstract
A 65-year-old male with peripheral neuropathy and small lymphocytic lymphoma presented with erythema and edema of the left foot. A Charcot midfoot was diagnosed and treated with a total contact cast and restricted weight bearing. However, subsequent analysis of bone and synovial fluid months later revealed Mycobacterium tuberculosis infection.
MeSH terms
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Aged
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Antitubercular Agents / therapeutic use
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Arthropathy, Neurogenic / diagnosis*
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Diagnostic Errors*
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Drug Therapy, Combination
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Foot Ulcer / drug therapy
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Foot Ulcer / microbiology
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Humans
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Leukemia, Lymphocytic, Chronic, B-Cell / complications
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Male
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Mycobacterium tuberculosis / isolation & purification*
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Peripheral Nervous System Diseases / complications
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Synovial Fluid / microbiology
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Tuberculosis, Osteoarticular / complications
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Tuberculosis, Osteoarticular / diagnosis*
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Tuberculosis, Osteoarticular / drug therapy
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Tuberculosis, Osteoarticular / microbiology*