Extrapulmonary tuberculosis in the wrist presenting as a ganglion cyst-like mass: A case report

Wu, Kun-Chi; Tang, Huan-Ming; Yeh, Kuang‐Ting; Ding, Dah-Ching

doi:10.1016/j.tcmj.2011.12.005

Cited by 9 publications

(16 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Vertebral localization remains the most frequent one [10]. Primary foci reactivation and secondary spreading via the bloodstream are the two gateways to extrapulmonary TB [11]. The discovery of spine involvement two months later in our patient questions which could be the primary foci.…”

Section: Discussionmentioning

confidence: 78%

“…The most common type of presentation of hand TB is tenosynovitis [11]. Tubercular tenosynovitis usually is of gradual onset in nature and progresses slowly.…”

Section: Discussionmentioning

confidence: 99%

“…The swelling will progress through tendons mostly without any other systemic evidence of TB. The most common findings are compound palmar or dumbbell ganglion of the ulnar bursa, “sausage digit,” and carpal tunnel syndrome [11].…”

Section: Discussionmentioning

confidence: 99%

“…The treatment is easy, from the three classic shutters of the treatment of osteoarticular TB; only chemotherapy is essential [11]. Chemotherapy has been replaced in recent years with progressively shorter treatment (six months) using more effective drugs [11].…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Tuberculosis of the Left Wrist Joint and Spine

Sivasamy¹,

Bajuri²,

Ghani³

2019

Cureus

View full text Add to dashboard Cite

The incidence of wrist tuberculosis is rare. Clinical features and radiographs are not conclusive in the beginning, happen to delay the achievement of the diagnosis, and thus result in poor treatment. We present a case report of wrist tuberculosis that had delayed diagnosis. Hence, the initiation of antituberculous treatment was delayed, as the initial investigations were not conclusive of tuberculous infection. The patient was treated surgically multiple times before tuberculosis was diagnosed. Antituberculous chemotherapy was started for the patient for one year until she became afebrile and infective markers returned to normal. However, the patient developed left wrist stiffness due to arthrofibrosis and bony destruction of the wrist joint.

show abstract

Section: Discussionmentioning

confidence: 78%

“…The most common type of presentation of hand TB is tenosynovitis [11]. Tubercular tenosynovitis usually is of gradual onset in nature and progresses slowly.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Tuberculosis of the Left Wrist Joint and Spine

Sivasamy¹,

Bajuri²,

Ghani³

2019

Cureus

View full text Add to dashboard Cite

show abstract

“…Only few cases were published; reviewing the large series of tuberculosis of hand and wrist, only Ben Kaddeche reported 3 cases of pseudotumoral form in the fingers ( Table 2 ). To our knowledge, besides the localization in the fingers, no other localization in the hand was reported, but some cases of pseudotumoral form of soft tissue tuberculosis of the wrist were published [ 5 – 8 ]. Extrapulmonary tuberculosis (such as of the hand) usually result from reactivation of primary foci and secondary hematogenous spread.…”

Section: Discussionmentioning

confidence: 99%

Pseudotumoral form of soft tissue tuberculosis of the hand: six cases

Sbai¹,

Benzarti²,

Chalbi³

et al. 2016

Pan Afr Med J

View full text Add to dashboard Cite

Musculoskeletal involvement is not uncommon in extra-pulmonary tuberculosis, but the localization in the soft tissue of the hand is very rare. Diagnosis is much more difficult because of the atypical location and non-specific symptoms. We report 6 cases of pseudotumoral form of soft tissue tuberculosis of the hand treated in our department during the past 12 years. The mean age of the patients was 51 years with extremes of 44 and 63 years. A marked female predominance was observed (sex ratio = 0.2). All patients presented with swelling of the finger, two of which were painful swelling. All long fingers were involved; the thumb was involved in two cases. The histological study after excisional biopsy revealed caseating giant cell granulomas with epitheloid cells confirming the diagnosis. Antibacillary chemotherapy promoted healing and good outcome in our patients.

show abstract