Charcot Neuropathic Osteoarthropathy Imitating Osteomyelitis; Case Report and Brief Review of the Literature
Journal Title: International Journal of Medical and Pharmaceutical Case Reports - Year 2016, Vol 7, Issue 1
Abstract
Charcot neuropathic osteoarthropathy (CN) is a chronic progressive disease that affects foot and ankle bone commonly. Osteoarticular deformities and functional disability may develop in the affected bone and joints. Various diseases may play role in the etiology. The most common causes are tabes dorsalis, leprosy, syringomyelia, diabetes mellitus, myelomeningocele, spinal cord trauma, tumors, poliomyelitis, Riley-oayer syndrome, cystic bone disease, congenital pain, loss, progressive feeling neuropathy, amyloid neuropathy, progressive muscular atrophy, cerebral hemorrhage after hemiplegia, druds such as thalidomide. Clinical findings are joint instability, soft tissue calcifications, misshapen and deformed joint appearance. There is no joint tenderness. Treatment of CN is the treatment of primary disease. In this case report we present a 59 years old women with CN. She had a poor glycemic control. The diagnosis was based on foot radiography and magnetic resonance imaging (MRI) findings. Edema and widespread destruction in the bone, joints and surrounding soft tissue can be seen in MRI. Firstly, osteomyelitis was considered in this patient and this situation had led to delays in diagnosis and unnecessary drug use. In conclusion, if there is doubt in the diagnosis of foot lesions in diabetic neuropathic patients for preventing the development of foot deformities and avoiding longterm unnecessary antibiotic use; multidisciplinary approaches should be applied.
Authors and Affiliations
Feyzi Gökosmanoğlu, Ramis Çolak, Mehmet Hulusi Atmaca, Ceyhun Varım, Hasan Ergenç
Keywords
Related Articles
- EP ID EP327710
- DOI 10.9734/IJMPCR/2016/24657
- Views 85
- Downloads 0
A Large Solid Pseudopapillary Tumour of the Body and Tail of Pancreas: A Rare Entity Treated with Combined Modality
Solid Pseudopapillary Tumour (SPPT) of the pancreas are rare tumours, accounting for only 1-2% of all pancreatic neoplasms. Increased rate of detection of this neoplasm in the last three decades is probably due to the in...
Use of Gabapentin as an Adjunct Agent in the Treatment of Neonatal Abstinence Syndrome: A Case Report
We report the use of Gabapentin (Neurontin), an anticonvulsant and analgesic, as a non-opioid adjunct agent in the treatment of a term newborn infant with neonatal abstinence syndrome (NAS). Initial treatment with methad...
Resolution of Tremor Fluoxetine-induced in an Elderly Patient
Aim: To report a possible case of tremor fluoxetine-induced treated as Parkinson’s disease in an elderly female patient noncompliant with the pharmacotherapy, with uncontrolled hypertension and using fluoxetine to treat...
Vitamin D Status among Egyptian Mothers and Their Neonates: An Exploratory Study
Background/Objective: The potential impact of vitamin D deficiency during pregnancy has attracted much interest in recent years. This study was an exploratory one aimed to assess vitamin D status among a small random sam...
Radial Ray Defect
A 24 days old male neonate presented to the University of Gondar Hospital with deformity at the right wrist joint since birth. Physical findings were deformity of the wrist joint with lateral deviation of fingers and abs...