We have treated a case of tuberculosis of the ankle, which could not be correctly diagnosed for 2 years. A 34-year-old male visited Nagasaki Univ. Hospital because of continued pain some time after a spain of the ankle. After operation, pain and swelling still continued, and moreover, a fistula developed in the ankle. For 2 years after the operation, the ankle lesion was treated as an infection caused by staphylococcus epidermidis.
On reflection we believe that tuberculosis of the ankle should have been suspected in the early period of his treatment because of his symptoms and the course of his disease.