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A Rare Case of Flexor Tenosynovitis Due to Tuberculosis in Hand and Wrist: a Case Report [Vzácný případ tuberkulózní tenosynovialitidy ruky a zápěstí: kazuistika]
M. Ç. Korkmaz, S. Tolu, S. Şimşek
Jazyk angličtina Země Česko
Typ dokumentu kazuistiky, časopisecké články
- MeSH
- dospělí MeSH
- lidé MeSH
- ruka MeSH
- tenosynovitida * diagnóza MeSH
- tuberkulóza osteoartikulární * komplikace diagnóza farmakoterapie MeSH
- zápěstí MeSH
- zápěstní kloub diagnostické zobrazování MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
Tuberculosis (TB) is still a worldwide problem. We present a case of flexor tenosynovitis due to tuberculosis in the hand and wrist. A 42-year-old man presented to the outpatient clinic with a 2-year history of a slowly growing mass over the volar aspect of the left wrist. His MRI showed multiple rice bodies in the wrist and hand. An open biopsy was performed. Pathology specimens showed granulomatous lesions with central necrosis. The purified protein derivative (PPD) test was positive. In this case, granulomatous lesions with central necrosis, rice bodies, and positive PPD test confirmed the diagnosis of TB in the wrist and hand. There was no other concurrent evidence of TB elsewhere. Antituberculosis chemotherapy was commenced. Tuberculous tenosynovitis of the wrist and hand is very rare. The tuberculous tenosynovitis should be kept in mind as an infectious agent when patients are presenting with atypical clinical. Key words: tuberculosis, rice bodies, flexor tenosynovitis, wrist, hand.
Bingöl State Hospital Department of Infectious Diseases and Clinical Microbiology Bingöl Turkey
Medipol University Department of Physical Medicine and Rehabilitation Istanbul Turkey
Vzácný případ tuberkulózní tenosynovialitidy ruky a zápěstí: kazuistika
Literatura
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- $a Tuberculosis (TB) is still a worldwide problem. We present a case of flexor tenosynovitis due to tuberculosis in the hand and wrist. A 42-year-old man presented to the outpatient clinic with a 2-year history of a slowly growing mass over the volar aspect of the left wrist. His MRI showed multiple rice bodies in the wrist and hand. An open biopsy was performed. Pathology specimens showed granulomatous lesions with central necrosis. The purified protein derivative (PPD) test was positive. In this case, granulomatous lesions with central necrosis, rice bodies, and positive PPD test confirmed the diagnosis of TB in the wrist and hand. There was no other concurrent evidence of TB elsewhere. Antituberculosis chemotherapy was commenced. Tuberculous tenosynovitis of the wrist and hand is very rare. The tuberculous tenosynovitis should be kept in mind as an infectious agent when patients are presenting with atypical clinical. Key words: tuberculosis, rice bodies, flexor tenosynovitis, wrist, hand.
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