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Flexor Tenosynovitis of the Hand Caused by Mycobacterium tuberculosis
Infectious tenosynovitis of the hand is a serious condition with a high risk of morbidity. Mycobacterium tuberculosis is a rare cause of tenosynovitis, especially in regions where tuberculosis is no longer endemic, and presents significant diagnostic challenges. We present the case of a 42-year-old...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132321/ https://www.ncbi.nlm.nih.gov/pubmed/30211389 http://dx.doi.org/10.5435/JAAOSGlobal-D-17-00083 |
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author | Cohen-Tanugi, Samuel Wright, Margart L. Kadiyala, R. Kumar |
author_facet | Cohen-Tanugi, Samuel Wright, Margart L. Kadiyala, R. Kumar |
author_sort | Cohen-Tanugi, Samuel |
collection | PubMed |
description | Infectious tenosynovitis of the hand is a serious condition with a high risk of morbidity. Mycobacterium tuberculosis is a rare cause of tenosynovitis, especially in regions where tuberculosis is no longer endemic, and presents significant diagnostic challenges. We present the case of a 42-year-old woman with no known history of or exposure to tuberculosis and a medical history of systemic lupus erythematosus on chronic immunosuppressive therapy who presented with swelling and erythema in the fifth finger of the left hand of 1-month duration. She underwent tenosynovectomy, and intraoperative cultures grew M tuberculosis. The patient completed an appropriate antibiotic regimen, and systemic workup revealed ring-enhancing lesions on brain MRI consistent with tuberculoma. We review the literature and current trends in the management of mycobacterial tenosynovitis, as well as the important teaching points of the case. |
format | Online Article Text |
id | pubmed-6132321 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer |
record_format | MEDLINE/PubMed |
spelling | pubmed-61323212018-09-12 Flexor Tenosynovitis of the Hand Caused by Mycobacterium tuberculosis Cohen-Tanugi, Samuel Wright, Margart L. Kadiyala, R. Kumar J Am Acad Orthop Surg Glob Res Rev Case Report Infectious tenosynovitis of the hand is a serious condition with a high risk of morbidity. Mycobacterium tuberculosis is a rare cause of tenosynovitis, especially in regions where tuberculosis is no longer endemic, and presents significant diagnostic challenges. We present the case of a 42-year-old woman with no known history of or exposure to tuberculosis and a medical history of systemic lupus erythematosus on chronic immunosuppressive therapy who presented with swelling and erythema in the fifth finger of the left hand of 1-month duration. She underwent tenosynovectomy, and intraoperative cultures grew M tuberculosis. The patient completed an appropriate antibiotic regimen, and systemic workup revealed ring-enhancing lesions on brain MRI consistent with tuberculoma. We review the literature and current trends in the management of mycobacterial tenosynovitis, as well as the important teaching points of the case. Wolters Kluwer 2018-04-23 /pmc/articles/PMC6132321/ /pubmed/30211389 http://dx.doi.org/10.5435/JAAOSGlobal-D-17-00083 Text en Copyright © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (http://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. |
spellingShingle | Case Report Cohen-Tanugi, Samuel Wright, Margart L. Kadiyala, R. Kumar Flexor Tenosynovitis of the Hand Caused by Mycobacterium tuberculosis |
title | Flexor Tenosynovitis of the Hand Caused by Mycobacterium tuberculosis |
title_full | Flexor Tenosynovitis of the Hand Caused by Mycobacterium tuberculosis |
title_fullStr | Flexor Tenosynovitis of the Hand Caused by Mycobacterium tuberculosis |
title_full_unstemmed | Flexor Tenosynovitis of the Hand Caused by Mycobacterium tuberculosis |
title_short | Flexor Tenosynovitis of the Hand Caused by Mycobacterium tuberculosis |
title_sort | flexor tenosynovitis of the hand caused by mycobacterium tuberculosis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132321/ https://www.ncbi.nlm.nih.gov/pubmed/30211389 http://dx.doi.org/10.5435/JAAOSGlobal-D-17-00083 |
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