1/26. Tuberculous tenosynovitis and carpal tunnel syndrome as a presentation of hiv disease.We describe a patient who presented with carpal tunnel syndrome secondary to tuberculous tenosynovitis and who was subsequently shown to have hiv infection. Recognition of this atypical presentation of tuberculosis is important for early, effective treatment.- - - - - - - - - - ranking = 1keywords = tuberculosis (Clic here for more details about this article) |
2/26. Isolated tuberculous tenosynovitis of the flexor tendon of the fourth finger of the hand. Case report.A 21-year-old woman presented with a painful swelling of her palm which prevented her from fully extending her fourth finger. magnetic resonance imaging showed synovial thickening around the flexor tendon and fluid in the tendon sheath. The mass was excised and histopathological examination showed tuberculosis. She had a six-month course of antituberculous treatment and was perfectly well three years later.- - - - - - - - - - ranking = 1keywords = tuberculosis (Clic here for more details about this article) |
3/26. Tuberculous tenosynovitis of the tibialis anterior tendon: a case report.Tuberculous tenosynovitis is an uncommon form of extrapulmonary tuberculosis occurring primarily in the hands and wrists with limited reports involving the lower extremities. We report a rare case of tuberculous tenosynovitis of the tibialis anterior tendon occurring in a 37-year-old Filipino male. The tendon was surgically debrided and the patient was given a six month course of antituberculin chemotherapy. At one year postoperatively, the patient has good function with no evidence of recurrence.- - - - - - - - - - ranking = 1keywords = tuberculosis (Clic here for more details about this article) |
4/26. mycobacterium marinum causing tenosynovitis. 'Fish tank finger'.mycobacterium marinum is an unusual atypical mycobacterium with low pathogenicity for humans in comparison with mycobacterium tuberculosis. Among the non-tuberculous mycobacterial pathogens, mycobacterium marinum is the most common pathogen to cause skin infections. mycobacterium marinum infection causes chronic cutaneous lesions and in some cases deeper infections such as tenosynovitis, septic arthritis and rarely osteomyelitis. We report the case of a male patient presenting with tenosynovitis of the distal upper extremity secondary to mycobacterium marinum infection.- - - - - - - - - - ranking = 1keywords = tuberculosis (Clic here for more details about this article) |
5/26. Tuberculous tenosynovitis.Tuberculous tenosynovitis is rare and may be overlooked as a cause of chronic tenosynovitis. This report presents a case of a young woman with tuberculosis tenosynovitis of the wrist, and highlights the clinical, imaging, histological, and laboratory features most commonly seen in this disease.- - - - - - - - - - ranking = 1keywords = tuberculosis (Clic here for more details about this article) |
6/26. A case of tuberculous tenosynovitis in a patient with systemic lupus erythematosus.A 52-year-old woman with systemic lupus erythematosus (SLE) was infected with tuberculosis (TB) on her forearm and hand, after 16 years of steroid therapy. Debridements and anti-TB therapy were performed successfully. Recently, the risk of significant morbidity from TB has been on the rise; this appears to be a complication of steroid therapy used to treat AIDS and some collagen vascular diseases. It is thought that steroid therapy causes an increased risk of TB. In this paper, we report our experience of this SLE patient who developed tuberculous tenosynovitis. We suggest that TB infection must be considered in the differential diagnosis whenever a patient presents with a chronic wrist or hand inflammation that is non-responsive to steroid treatment. Once TB infection is suspected, both histopathological and bacteriological examinations should be performed. Emergent treatment includes surgical debridement and the institution of early anti-TB therapy immediately after completing histopathological examination.- - - - - - - - - - ranking = 1keywords = tuberculosis (Clic here for more details about this article) |
7/26. mycobacterium chelonae tenosynovitis of the hand.OBJECTIVE: tenosynovitis of the hand due to atypical mycobacteria is an uncommon condition. We present a case of tenosynovitis of the hand due to mycobacterium chelonae in a patient without a recognized penetrating injury, who was treated successfully with clarithromycin and antituberculous medications and without debridement. We reviewed the available literature to summarize the experience with this infectious entity. methods: Case report and review of the literature (medline 1976-2003). Only cases that were sufficiently detailed were included. RESULTS: Twelve cases of upper extremity infection due to M. chelonae have been reported: hand tenosynovitis in most and arthritis in a few. These infections resulted from percutaneous inoculation or hematogenous seeding. The clinical course was indolent initially but insidiously destructive. Previously, treatment always included surgical excision of the infected tissues and antibiotic therapy. This is the first case of M. chelonae musculoskeletal infection that resolved with only antimicrobial therapy. CONCLUSIONS: Musculoskeletal infections by nontuberculous mycobacteria are clinically indistinguishable from those of tuberculosis and diagnosis is usually delayed. Prompt diagnosis of atypical mycobacteria with appropriate antimicrobial treatment may avoid the need for surgical debridement. Relevance We recommend a trial of antibiotics for M. chelonae before surgical debridement.- - - - - - - - - - ranking = 1keywords = tuberculosis (Clic here for more details about this article) |
8/26. tenosynovitis of the wrist due to resistant mycobacterium tuberculosis in a heart transplant patient.Tubercular tenosynovitis is now rare, which can delay diagnosis of this disease. We report a case of tenosynovitis of the wrist in a heart transplant patient caused by an isoniazid- and streptomycin-resistant mycobacterium tuberculosis strain. Despite immunosuppression therapy, which can lead to a smoldering evolution, molecular biology analysis of biopsies allowed a rapid diagnosis.- - - - - - - - - - ranking = 5keywords = tuberculosis (Clic here for more details about this article) |
9/26. mycobacterium marinum tenosynovitis: three case reports and review of the literature.mycobacterium marinum is one of the nontuberculosis mycobacteria responsible for skin infections. There have been very few case series of M. marinum infections reported in the English literature. Herein, we describe three patients with M. marinum tenosynovitis. All patients had positive cultures and were exposed to pricking by a fishbone. The incubation period ranged from 7 to 60 days. Key elements in the diagnosis of this infection were a high index of suspicion raised by negative bacterial tissue cultures, poor response to conventional antibiotics treatment, a history of exposure to tropical fish and tissue biopsy for culture and histology. The treatment is essentially antimicrobial therapy supplemented by an appropriate surgical debridement, especially when deep structures are involved.- - - - - - - - - - ranking = 1keywords = tuberculosis (Clic here for more details about this article) |
10/26. Tuberculous tenosynovitis of the wrist. Two case reports.Tuberculosis was first described in 1756 by Acrel in a case report. Subsequent reports of musculoskeletal tuberculosis documented the uncommon occurrence of hand and wrist involvement. The two cases presented here demonstrate the difficulty in eradicating the organism even with modern regimens of chemotherapy. Intraoperative Gram's stain and frozen sections were useful to rule out other etiologies. Firm diagnosis must be established by tissue culture. The first case appeared cured after thorough initial debridement and had no recurrence for 36 years. While recurrences are common in patients treated with debridement alone, most appear within one year after the index procedure. The amount of time that elapsed in this case is unusual and serves as a sobering reminder that tuberculosis may recur at a time distant from the initial procedure. The second patient had tuberculosis diagnosed elsewhere and was treated twice with antituberculous chemotherapy. Although the first course of therapy for six months may have been inadequate, the second course with multiple drugs for 18 months would certainly be considered adequate; yet he had a recurrence in his wrist eight months after completing treatment. These two cases illustrate the fastidious nature of the mycobacterium tuberculosis organism and the need for a combined treatment protocol of meticulous surgical debridement and combined chemotherapy.- - - - - - - - - - ranking = 4keywords = tuberculosis (Clic here for more details about this article) |
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