{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:13:03Z","timestamp":1789560783481,"version":"build-2803163510"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","license":[{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Calcaneal tuberculosis (TB) is an uncommon manifestation of osteoarticular TB, accounting for &lt;0.1% of skeletal cases. Its nonspecific features such as heel pain and swelling without systemic signs frequently mimic chronic osteomyelitis or bone tumors, often resulting in delayed diagnosis and risk of long-term disability. We report a case of a 20-year-old male presenting with progressive heel pain and swelling. Diagnostic evaluation included plain radiographs, which demonstrated a lytic lesion in the posterior\u2013inferior calcaneus, and magnetic resonance imaging, which revealed marrow involvement. Histopathology of curetted material showed granulomatous inflammation with caseous necrosis. Cartridge-based nucleic acid amplification testing confirmed\n                    <jats:italic toggle=\"yes\">Mycobacterium tuberculosis<\/jats:italic>\n                    . Surgical debridement was performed, and the residual cavity was filled with antibiotic-impregnated polymethylmethacrylate (PMMA) cement. Postoperatively, the patient was commenced on a bedaquiline-based antitubercular regimen as per drug susceptibility testing. The patient\u2019s postoperative course was uneventful. Serial follow-up radiographs showed stable cement position and progressive healing changes. By 5 months, the patient achieved pain-free ambulation with no evidence of recurrence or implant-related complications. This case highlights the need for high clinical suspicion of TB when evaluating lytic calcaneal lesions in endemic regions. In addition to systemic antitubercular therapy, the use of antibiotic-loaded PMMA cement after debridement can serve as an effective surgical adjunct by providing local infection control and immediate mechanical stability in the load-bearing hindfoot.\n                  <\/jats:p>","DOI":"10.4103\/aam.aam_865_25","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T07:00:24Z","timestamp":1776409224000},"page":"S317-S321","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Rare Presentation of Calcaneal Tuberculosis Treated with Debridement and Antibiotic-impregnated Cement"],"prefix":"10.4103","volume":"25","author":[{"given":"Swaroop","family":"Solunke","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri-Chinchwad, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shourya","family":"Chaudhary","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri-Chinchwad, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,16]]},"reference":[{"key":"R2-20260916","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1097\/00003086-200205000-00015","article-title":"Tuberculosis of the foot and ankle","volume":"398","author":"Dhillon","year":"2002","journal-title":"Clin Orthop Relat Res"},{"key":"R3-20260916","doi-asserted-by":"crossref","first-page":"135","DOI":"10.25259\/JMSR_158_2022","article-title":"Calcaneum tuberculosis \u2013 A rare entity: Case report and review of literature","volume":"7","author":"Choudhary","year":"2023","journal-title":"J Musculoskelet Surg Res"},{"key":"R4-20260916","first-page":"24","article-title":"Tuberculosis of calcaneus \u2013 A case report and review of literature","volume":"10","author":"Yadav","year":"2020","journal-title":"J Orthop Case Rep"},{"key":"R5-20260916","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1302\/0301-620X.81B6.0810997","article-title":"Tuberculosis of the foot","volume":"81","author":"Mittal","year":"1999","journal-title":"J Bone Joint Surg Br"},{"key":"R6-20260916","doi-asserted-by":"crossref","first-page":"206","DOI":"10.4103\/0019-5413.93683","article-title":"Tuberculosis of the foot: An osteolytic variety","volume":"46","author":"Dhillon","year":"2012","journal-title":"Indian J Orthop"},{"key":"R7-20260916","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1053\/j.jfas.2009.06.010","article-title":"The role of polymethylmethacrylate antibiotic-loaded cement in addition to debridement for the treatment of soft tissue and osseous infections of the foot and ankle","volume":"49","author":"Schade","year":"2010","journal-title":"J Foot Ankle Surg"},{"issue":"(398)","key":"R8-20260916","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1097\/00003086-200205000-00015","article-title":"Tuberculosis of the foot and ankle","author":"Dhillon","year":"2002","journal-title":"ClinOrthop Relat Res"},{"key":"R10-20260916","doi-asserted-by":"crossref","first-page":"97","DOI":"10.4184\/asj.2014.8.1.97","article-title":"Tuberculosis of spine: Current views in diagnosis and management","volume":"8","author":"Moon","year":"2014","journal-title":"Asian Spine J"},{"key":"R11-20260916","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1053\/j.jfas.2009.06.010","article-title":"The role PMMA antibiotic loaded cement and debridement for the treatment of soft tissue and osseous infection of the foot and ankle","volume":"49","author":"Schade","year":"2010","journal-title":"J Foot Ankle Surg"},{"key":"R12-20260916","first-page":"41","article-title":"Unusual presentation of isolated calcaneal tuberculosis","volume":"4","author":"Sharma","year":"2017","journal-title":"J Foot Ankle Surg (Asia Pacific)"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_865_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:00:57Z","timestamp":1789560057000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_865_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,16]]},"references-count":10,"journal-issue":{"issue":"Suppl 2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_865_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,16]]},"assertion":[{"value":"2025-12-27","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-04","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}