Cases reported "Tenosynovitis"

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1/30. Flexor tenosynovitis in the hand caused by Mycobacterium terrae.

    The authors describe an uncommon case of flexor tenosynovitis caused by Mycobacterium terrae, an atypical mycobacterium generally considered nonpathogenic in humans. A prolonged delay in diagnosis and various ineffective therapies led to synovial biopsy and culture. After confirming the diagnosis of M. terrae, appropriate antimycobacterial chemotherapy resolved the synovitis. For chronic tenosynovitis without a clear etiology, limited synovectomy and culture are essential in establishing a diagnosis and in initiating treatment for this atypical mycobacterial infection.
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ranking = 1
keywords = mycobacterium
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2/30. Mycobacterium intracellulare as a cause of a recurrent granulomatous tenosynovitis of the hand.

    We report a case of recurrent granulomatous tenosynovitis with M. intracellulare in a 55-year-old hiv negative diabetic woman. Identification of the causative agent further than belonging to the M. avium-intracellulare complex is provided by specific PCR-amplification of genomic dna and sequencing of an hypervariable region within its 16S rna gene. Sixteen months antibiotic regimen of rifabutin and clarithromycin led to a complete resolution of the tenosynovitis.
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ranking = 1.9972059049427
keywords = intracellulare, avium, complex
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3/30. Mobilization with movement as an adjunct intervention in a patient with complicated de Quervain's tenosynovitis: a case report.

    STUDY DESIGN: Case study. OBJECTIVES: To describe the use of conventional physical therapy interventions together with Mobilization With movement (MWM) techniques in the treatment of an individual with a complicated scenario of de Quervain's tenosynovitis. BACKGROUND: The patient was a 61-year-old woman who presented with signs and symptoms consistent with de Quervain's tenosynovitis of the right hand. Range limitations in all motions of the right wrist and first carpometacarpal joint complicated her presentation. methods AND MEASURES: Physical therapy included conventional intervention with superficial heat, ice, iontophoresis, and transverse friction massage directed to the first dorsal tunnel. Conventional joint mobilization techniques addressed the motion limitations of the first carpometacarpal, radiocarpal, and midcarpal joints. In addition, MWM techniques were utilized to promote pain-free wrist and thumb mobility. The specific MWM techniques used with this patient involved active movements of the thumb and wrist superimposed on a passive radial glide of the proximal row of carpal bones. RESULTS: The described treatment regime, which involved conventional physical therapy interventions, along with MWM, aided in the complete resolution of this patient's impairments and functional limitations. CONCLUSION: The combination of conventional physical agents, exercise, and manual therapy, and the less conventional MWM techniques, proved successful with this patient. MWM involving the correction of minutejoint malalignments, coupled with active motion of the wrist and first carpometacarpal joints, was an effective and efficient adjunct physical therapy intervention. Because subtle changes injoint alignment may contribute to painful syndromes in the tendon complexes that cross a malaligned joint, use of MWM as a treatment technique warrants continued research.
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ranking = 3.7407057399325E-5
keywords = complex
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4/30. Scintigraphic findings of mycobacterium avium complex tenosynovitis of the index finger in a patient with systemic lupus erythematosus.

    The presented case is a 36-year-old woman with a history of systemic lupus erythematosus for 10 years. She had progressively painful swelling of the right index finger that later proved to be a rare case of tenosynovitis caused by mycobacterium avium complex. Serial images of 3-phase bone scans, gallium scan, and magnetic resonance imaging demonstrate the area of involvement.
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ranking = 0.12562341956114
keywords = avium complex, avium, complex
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5/30. tenosynovitis due to Mycobacterium avium-intracellulare: case report and a review of the literature.

    A 57-year-old female patient presented with a tenosynovitis due to Mycobacterium avium-intracellulare (MAI). A relapse occurred following surgical treatment, after which she was successfully treated with ansamycin and ethambutol. Previously reported cases of tenosynovitis due to MAI are reviewed and the treatment modalities are discussed.
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ranking = 1.6733108843196
keywords = intracellulare, avium
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6/30. 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.
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ranking = 1
keywords = mycobacterium
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7/30. Paraneoplastic polyarthritis in an ovarian teratoma.

    A 34-year-old woman presented to the rheumatology clinic with severe low back pain and arthralgia; later she developed bilateral knee pain and swelling, with limitation in ambulation and minimal improvement with nonsteroidal antiinflammatory drugs. Two weeks later she developed pain on the volar aspect of the right wrist and on the hypothenar region of the right hand. Examination showed swelling and tenderness of the right hypothenar region, tenderness and decreased flexion and extension of the right wrist, and bilateral knee effusions. The combination of arthritis and tenosynovitis raised the possibility of an ovarian tumor. A pelvic ultrasound revealed a complex, hyperechoic ovarian mass consistent with a cystic teratoma. Four weeks after removal of the teratoma, the polyarthritis and related symptoms resolved without therapy.
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ranking = 3.7407057399325E-5
keywords = complex
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8/30. Atypical mycobacterium infections of the upper extremity.

    BACKGROUND: We encountered five patients with atypical mycobacterium infections in the upper extremity, and examined their outcomes. patients AND methods: Two patients were male and three were female. The average patient age was 67 (range, 63-75) years. A wide synovectomy was performed to diagnose all cases followed by a therapeutic regimen of Rifampicin, isoniazid, and ethambutol. RESULTS: The causative atypical organism was mycobacterium marinum in three cases and Mycobacterium intracellulare in two cases. In one patient, inflammation recurred or did not disappear, and, therefore, three debridements were necessary. The average duration of antimicrobial therapy was 12 (range, 5-24) months. The average follow-up period was 26 (range, 5-66) months, and resolution had been achieved in all cases at the time of follow-up evaluation. CONCLUSION: Surgical debridement and appropriate mycobacterial culture or PCR method are critical to enable diagnosis and appropriate management.
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ranking = 0.33250126420427
keywords = intracellulare
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9/30. Recurrent granulomatous tenosynovitis of the wrist and finger caused by Mycobacterium intracellulare: a case report.

    We report a 65-year-old man with tenosynovitis of the wrist and finger caused by Mycobacterium intracellulare. The diagnosis was made after subsequent recurrence, when a specimen of synovial fluid was subjected to specific polymerase chain reaction and mycobacterial culture. Synovectomy and susceptibility-guided antituberculous therapy permitted complete healing of tenosynovitis.
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ranking = 1.6625063210214
keywords = intracellulare
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10/30. Mycobacterium heckeshornense tenosynovitis.

    We describe the first case of tenosynovitis due to Mycobacterium heckeshornense, a mycobacterium characterized in 2000 and only incriminated in a few previous cases of infections. Molecular identification of this pathogen included 16S rRNA and hsp65 gene sequencing. M. heckeshornense may cause a wide spectrum of human infectious diseases and may be underestimated due to its phenotypic relatedness with mycobacterium xenopi.
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ranking = 1
keywords = mycobacterium
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