section_path: Reign/Health
section_name: Health
paragraph_text: Health
  
  Details about Tutankhamun's health and early death are heavily debated. The most recent study suggests Tutankhamun had bone necrosis and a possible clubfoot, which may have rendered him dependent on assistive canes. This theory is disputed, as neither the canes nor his sandals show the kinds of the wear expected. He also had other health issues, including scoliosis, and had contracted several strains of malaria. He likely died of complications from a broken leg, possibly compounded by malaria. Egyptologist Raymond Johnson has remarked that it is possible that the leg injury occurred while Tutankhamun was on a military campaign.
  
  Tutankhamun was slight of build, and roughly 167 cm (5 ft 6 in) tall. CT investigations of Tutankhamun's skull revealed an excellent condition of his dentition. He had large front incisors and an overbite characteristic of the Thutmosid royal line to which he belonged. Analysis of the clothing found in his tomb, particularly the dimensions of his loincloths and belts indicates that he had a narrow waist and rounded hips. In attempts to explain both his unusual depiction in art and his early death it has been theorised that Tutankhamun had gynecomastia, Marfan syndrome, Wilson–Turner X-linked intellectual disability syndrome, Fröhlich syndrome (adiposogenital dystrophy), Klinefelter syndrome, androgen insensitivity syndrome, aromatase excess syndrome in conjunction with sagittal craniosynostosis syndrome, Antley–Bixler syndrome or one of its variants. It has also been suggested that he had inherited temporal lobe epilepsy in a bid to explain the religiosity of his great-grandfather Thutmose IV and father Akhenaten and their early deaths. However, caution has been urged in this diagnosis.
  
  In January 2005 Tutankhamun's mummy was CT scanned. The results showed that the young king had a partially cleft hard palate and possibly a mild case of scoliosis. Additionally, he was diagnosed with a flat right foot with hypophalangism, while his left foot was clubbed and had bone necrosis of the second and third metatarsals (Freiberg disease or Köhler disease II). However, the clubfoot diagnosis is disputed. James Gamble instead suggests that the position is a result of Tutankhamun habitually walking on the outside of his foot due to the pain caused by Köhler disease II; this theory has been refuted by members of Hawass' team. The condition may have forced Tutankhamun to walk with the use of a cane, many of which were found in his tomb. However, none of them show the wear expected of essential aids; the wear on his sandals, where present, is also even on both feet. The presence of such a number of sticks is not unexpected, as canes were a symbol of status in ancient Egypt. Genetic testing through STR analysis rejected the hypothesis of gynecomastia and craniosynostoses (e.g., Antley–Bixler syndrome) or Marfan syndrome. Genetic testing for STEVOR, AMA1, or MSP1 genes specific for Plasmodium falciparum revealed indications of malaria tropica in four mummies, including Tutankhamun's. This is currently the oldest known genetic proof of the ailment. The team discovered DNA from several strains of the parasite, indicating that he was repeatedly infected with the most severe strain of malaria. His malaria infections may have caused a fatal immune response in the body or triggered circulatory shock. The CT scan also showed that he had experienced a compound left leg fracture. This injury being the result of modern damage was ruled out based on the ragged edges of the fracture; modern damage features sharp edges. Embalming substances were present within the fracture indicating that it was associated with an open wound; no signs of healing were present.