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Tuberculous Osteomyelitis of the MetatarsalsA Report of Two Cases and Literature Review
Sagar Narang, MS (Orth)1
1 98, Christopher Road, Vrindavan Gardens, Block A2, 10th Floor, Flat 1, Kolkata, 700046, India. E-mail address: sagar_narang2001@yahoo.com
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Disclosure: The author received no payments or services, either directly or indirectly (i.e., via his institution), from a third party in support of any aspect of this work. Neither the author nor his institution has had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, the author has not had any other relationships, or engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

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Investigation performed at the Department of Orthopaedic Surgery, Lumbini Medical College Hospital & Research Center, Pravas, Palpa, Nepal

JBJS Case Connector, 2012 Aug 22;2(3):e40 1-4. doi: 10.2106/JBJS.CC.K.00183
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Tuberculosis is a debilitating disease, and manifestations of osteoarticular tuberculosis can be varied1-3. The bones of the foot are particularly vulnerable in populations accustomed to walking barefoot3, but tuberculosis affecting the metatarsals is relatively uncommon. Diagnosing and treating tuberculosis of the metatarsals can be a challenging task for physicians not familiar with the clinical and radiographic features of tuberculosis1. The insidious onset, slow progression, paucity of symptoms, and, at times, inconclusive microbiological and histopathologic findings can delay the diagnosis. We present two cases of tuberculous osteomyelitis of a metatarsal. Both patients were informed that data concerning their cases would be submitted for publication, and they provided consent.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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