PMC5458707_01
Clinical picture shows the fullness of ankle.
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F1
When he visited our outpatient clinic, he was afebrile but had fullness of the right ankle when compared to the unaffected side (Fig. 1).
X-ray of right ankle - with no radiological abnormality.
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F2
Radiographs of the ankle showed apparently normal tibiotalar joint in comparison to the contralateral side (Fig. 2).
Magnetic resonance imaging of the ankle joint with both T1 and T2 images showing joint effusion and bone edema.
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F3
We suspected osteochondral injury of the talus and advised magnetic resonance imaging (MRI) and it showed lesions over the tibiotalar joint with joint effusion and cartilage destruction of the ankle joint (Fig. 3).
Arthroscopic images show the destruction of articular cartilage.
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F4
Whole articular cartilage has already destroyed with lesion in the distal tibia and talus (Fig. 4).
The GeneXpert for synovial tissue and fluid showed Mycobacterium tuberculosis, without resistance for rifampicin.
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F5
The GeneXpert for specimen showed Mycobacterium TB, without resistance for rifampicin (Fig. 5).