# Challenges and Triumphs: Unusual Presentation of Tuberculosis in the Cuboid Bone Successfully Managed Through Surgical and Medical Intervention

## TL;DR

A 16-year-old boy with tuberculosis in his cuboid bone was successfully treated with surgery and medication.

## Contribution

This case report highlights an unusual presentation of TB in the cuboid bone and its successful management.

## Key findings

- TB in the cuboid bone was confirmed through histopathology, CBNAAT, and culture.
- Surgical debridement and anti-tuberculous treatment led to full recovery.
- The patient showed clinical improvement post-surgery and medication.

## Abstract

This case report describes the unusual presentation of tuberculosis (TB) affecting the cuboid bone in a 16-year-old male patient. The patient presented with a one-year history of progressive foot pain, a discharging sinus, evening rise of temperature, weight loss, and loss of appetite. Clinical examination revealed soft tissue swelling and the presence of caseous material oozing from the sinus. Emergency debridement and curettage were performed, and bone cementing was carried out. An intraoperative sample was sent for a culture sensitivity test, histological analysis, and cartridge-based nucleic acid amplification test (CBNAAT). Histopathological examination, CBNAAT, and culture and sensitivity tests confirmed the diagnosis of Mycobacterium tuberculosis infection. Post-operatively, anti-tuberculous treatment was started. The patient fully recovered from TB of the cuboid.