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The British Journal of Diabetes & Vascular Disease
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Tuberculous osteomyelitis in the diabetic foot

Chinnadorai Rajeswaran

Diabetes & Endocrinology, Diabetes Centre, Leeds General Infirmary, Leeds, LS1 3EX, UK, crajesh630{at}btinternet.com

Nicholas Harris

Diabetes & Endocrinology, Diabetes Centre, Leeds General Infirmary, Leeds, LS1 3EX, UK

Haevey J Bodansky

Diabetes & Endocrinology, Diabetes Centre, Leeds General Infirmary, Leeds, LS1 3EX, UK

Caroline M Amery

Diabetes & Endocrinology, Diabetes Centre, Leeds General Infirmary, Leeds, LS1 3EX, UK

Foot infections in patients with diabetes mellitus are associ- Fated with considerable morbidity and mortality. Tuberculosis t of the foot and ankle is an uncommon presentation of skeletal tuberculosis. We present an unusual case of tuberculous osteomyelitis involving the foot of a patient with type 2 diabetes mellitus. Skeletal tuberculosis may be difficult to diagnose as the symptoms and signs are often non-specific. In diabetic patients with a previous history of tuberculosis, it is important to include cultures of acid-fast bacillus in the work-up of deep infection of the foot. It is important to recognise peripheral tuberculosis osteomyelitis early, as prompt treatment can effectively eliminate long-term morbidity. This condition is potentially devastating and must be differentiated from other pathologies in the diabetic foot.

Key Words: tuberculosis • osteomyelitis • diabetes mellitus • foot

The British Journal of Diabetes & Vascular Disease, Vol. 5, No. 5, 289-291 (2005)
DOI: 10.1177/14746514050050050901
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