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Mycobacterium abscessus Osteomyelitis of the Calcaneus Presenting as Tumor-Mimicking Lesions

A Case Report

Chiu, Yen-Chun, MD1; Yang, Shih-Chieh, MD, PhD1; Wu, Chin-Hsien, MD1; Chuang, Hao-Wen, MD1; Tu, Yuan-Kun, MD, PhD1; Ma, Ching-Hou, MD1,a

doi: 10.2106/JBJS.CC.16.00273
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Disclosures

Case: We present the case of a 51-year-old immunocompetent man with refractory heel pain who initially had been treated for plantar fasciitis. However, the pain was proven to be caused by a Mycobacterium abscessus infection of the calcaneus. The process of diagnosis and treatment is described.

Conclusion: Although rare, chronic heel pain can be caused by an atypical mycobacterial infection of the calcaneus. Because of its indolent clinical course, misdiagnosis is not uncommon with calcaneal osteomyelitis. Physicians should note that this rare infection should be considered in patients with refractory heel pain.

1Departments of Orthopaedic Surgery (Y.-C.C., S.-C.Y., C.-H.W., Y.-K.T., and C.-H.M.) and Pathology (H.-W.C.), E-Da Hospital, I-Shou University, Taiwan, Republic of China

aE-mail address for C.-H. Ma: edatrauma@gmail.com

Copyright © 2017 by The Journal of Bone and Joint Surgery, Incorporated
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