A 14-year-old boy came to our outpatient department with a 3-months history of swelling and pain on his left ankle. On laboratory evaluation, he only had an elevated erythrocyte sedimentation rate. X-ray showed an extensive lytic lesion of the talus bone. Chest radiograph was normal. The Mantoux skin test was negative. Histological examination of the biopsy tissue showed granuloma and caseating necrosis of tuberculosis. Talectomy with 6 months of antituberculous course resulted in a good clinical outcome.
Prof. Dr. Bilal BİLGİN