Chronic Tuberculous Osteomyelitis of Cuboid: A Case Report

Introduction Tuberculous (TB) osteomyelitis of the foot is a rare entity, often leading to diagnostic challenges due to its atypical presentation and similarity to other foot pathologies. Case report A 19-year-old male presented with persistent pain and discharge in the left foot for 9 months. Despite previous incision and drainage, the condition progressed. Clinical examination revealed a 1 × 1 cm swelling with indurated margins and a discharging sinus. Diagnostic imaging suggested osteomyelitis, confirmed as TB in nature through histopathological examination, revealing caseous necrosis and langerhans giant cells. Conclusion This case illustrates the importance of considering TB osteomyelitis in differential diagnoses of chronic foot lesions and highlights the effectiveness of combined surgical and medical management.