DOI: 10.36347/sjmcr.2018.v06i08.025

Pages: 581-584

Tuberculosis (TB) is a public health problem in Morocco; multifocal disease is a serious form usually affecting immunocompromised patients who already have pulmonary localization. However, it can affect immunocompetent individuals outside of any pulmonary localization. While the association of ganglionar and osteoarticular tuberculosis is infrequent, Tuberculosis of navicular bone is a rare entity. It is important to recognize skeletal tuberculosis at an early stage, as early treatment can effectively eliminate long-term morbidity. The clinical symptoms are often insidious, the diagnosis can be guided by radiographic imaging, the bacteriological and histological examination of the tissue allows the isolation of the pathogen, the identification of the bacillus and the sensitivity of the strain to antibacillary treatment. We report the case of an immunocompetent 55-year-old woman with multifocal ganglionic tuberculosis with a rare attack of navicular bone with good clinical improvement under anti-tuberculosis treatment. It is therefore necessary to systematically carry out an exhaustive assessment of the spread of tuberculosis germs for better management. The prognosis is often favorable, depending on the type of involvement and the early onset of anti-tuberculosis treatment.