Midfoot Osteoarticular Tuberculosis: Case Report

Tuberculous osteomyelitis/arthritis in the foot is a rare manifestation of the osteoarticular tuberculosis, usually secondary to pulmonary tuberculosis with hematogenous spread. Its overlap with gout is even more unusual. We report the case of a patient that was diagnosed with tuberculous osteomyelitis of the midfoot overlapped with gouty arthritic changes. Mycobacterium tuberculosis was isolated in a bone biopsy culture and the patient received antibiotic treatment for 15 months due to the bone involvement.