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Tuberculous Tenosynovitis and Ulnar Bursitis of the Wrist
Tuberculous infection of the hand is a rare form of extrapulmonary tuberculosis that, left untreated, can cause serious joint and tendon damage. We report the case of a 65-year-old male patient who presented with an insidious flexor weakness of the fifth finger but without any history of trauma. Mag...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Academy of Rehabilitation Medicine
2013
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3764354/ https://www.ncbi.nlm.nih.gov/pubmed/24020040 http://dx.doi.org/10.5535/arm.2013.37.4.572 |
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author | Lee, Sang-Min Lee, Won-Jae Song, Ah-Rom |
author_facet | Lee, Sang-Min Lee, Won-Jae Song, Ah-Rom |
author_sort | Lee, Sang-Min |
collection | PubMed |
description | Tuberculous infection of the hand is a rare form of extrapulmonary tuberculosis that, left untreated, can cause serious joint and tendon damage. We report the case of a 65-year-old male patient who presented with an insidious flexor weakness of the fifth finger but without any history of trauma. Magnetic resonance imaging revealed a partial tear of the fifth finger flexor tendon with a fluid collection in the tendon sheath and in the flexor compartment along the ulnar side. Under ultrasound guidance, this fluid collection was aspirated and analyzed for Mycobacterium tuberculosis using polymerase chain reaction. The assay was positive for the microorganism, confirming the diagnosis of tuberculous tenosynovitis and ulnar bursitis of the wrist. The early suspicion and diagnosis of this extrapulmonary disease facilitated anti-tuberculous chemotherapy and helped avoid a hasty injection of corticosteroid. |
format | Online Article Text |
id | pubmed-3764354 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Korean Academy of Rehabilitation Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-37643542013-09-09 Tuberculous Tenosynovitis and Ulnar Bursitis of the Wrist Lee, Sang-Min Lee, Won-Jae Song, Ah-Rom Ann Rehabil Med Case Report Tuberculous infection of the hand is a rare form of extrapulmonary tuberculosis that, left untreated, can cause serious joint and tendon damage. We report the case of a 65-year-old male patient who presented with an insidious flexor weakness of the fifth finger but without any history of trauma. Magnetic resonance imaging revealed a partial tear of the fifth finger flexor tendon with a fluid collection in the tendon sheath and in the flexor compartment along the ulnar side. Under ultrasound guidance, this fluid collection was aspirated and analyzed for Mycobacterium tuberculosis using polymerase chain reaction. The assay was positive for the microorganism, confirming the diagnosis of tuberculous tenosynovitis and ulnar bursitis of the wrist. The early suspicion and diagnosis of this extrapulmonary disease facilitated anti-tuberculous chemotherapy and helped avoid a hasty injection of corticosteroid. Korean Academy of Rehabilitation Medicine 2013-08 2013-08-26 /pmc/articles/PMC3764354/ /pubmed/24020040 http://dx.doi.org/10.5535/arm.2013.37.4.572 Text en Copyright © 2013 by Korean Academy of Rehabilitation Medicine http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Lee, Sang-Min Lee, Won-Jae Song, Ah-Rom Tuberculous Tenosynovitis and Ulnar Bursitis of the Wrist |
title | Tuberculous Tenosynovitis and Ulnar Bursitis of the Wrist |
title_full | Tuberculous Tenosynovitis and Ulnar Bursitis of the Wrist |
title_fullStr | Tuberculous Tenosynovitis and Ulnar Bursitis of the Wrist |
title_full_unstemmed | Tuberculous Tenosynovitis and Ulnar Bursitis of the Wrist |
title_short | Tuberculous Tenosynovitis and Ulnar Bursitis of the Wrist |
title_sort | tuberculous tenosynovitis and ulnar bursitis of the wrist |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3764354/ https://www.ncbi.nlm.nih.gov/pubmed/24020040 http://dx.doi.org/10.5535/arm.2013.37.4.572 |
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