Tenosynovitis: a rare presentation of tuberculosis better known by hand surgeons than infectious diseases specialists

Weber, Edward C.; Gagneux‐Brunon, Amandine; Jacomo, Véronique; Rousselon, T.; Lucht, F.; Botelho-Nevers, Élisabeth

doi:10.1007/s15010-015-0741-6

Cited by 12 publications

(6 citation statements)

References 28 publications

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“…Some studies have found a 75% success rate with anti-tuberculosis drugs without surgery. Debridement should be performed when surgical treatment is required or antituberculosis drugs fail [7]. In our cases, recovery was achieved with antituberculosis treatment without the need for surgical intervention.…”

Section: Discussionmentioning

confidence: 71%

Tuberculosis, a Rare Cause of Hands Tenosynovitis: Two Case Reports

Çıracıoğlu¹,

Erdoğan

Sarıçimen

et al. 2022

Preprint

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Introduction: A tenosynovitis is a rare form of tuberculosis. It may be overlooked or misdiagnosed due to non-specific findings. These delays in diagnosis and treatment can cause serious complications. Case Presentation: In these case reports, two patients with complaints of pain and swelling in the wrist flexor tendons received various diagnoses such as inflammatory arthritis and carpal tunnel syndrome. These patients who did not respond to the treatment were diagnosed with tuberculosis tenosynovitis as a result of the microbiological and histopathological evaluation. The patients showed significant improvement with antituberculosis treatment and surgical treatment was not needed. Conclusion: It is important for early diagnosis and prevention of appropriate complications in tuberculosis tenosynovitis.

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Section: Discussionmentioning

confidence: 71%

Tuberculosis, a Rare Cause of Hands Tenosynovitis: Two Case Reports

Çıracıoğlu¹,

Erdoğan

Sarıçimen

et al. 2022

Preprint

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“…Rheumatoid arthritis, 1,3) tuberculosis infection, 4,5) and non-tuberculous mycobacteriosis [6][7][8] were previously reported as causes of tenosynovitis with rice bodies. There are also some reports of cases with causes that were unclear.…”

Section: Discussionmentioning

confidence: 99%

Non-tuberculous Mycobacterium or Fungus Induced Chronic Tenosynovitis with Rice Body of the Hand

Yamamoto

Tada

Suganuma

et al. 2017

J Hand Surg Asian-Pac Vol

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Background: Chronic tenosynovitis of the wrist and hand is commonly seen by orthopedists, especially hand surgeons. However, cases with rice body formation are comparatively rare. Thus, we retrospectively reviewed the cases of chronic tenosynovitis in our department and evaluated the necessity of antibiotic therapy in the early post-surgical stage. Methods: We analyzed the medical and surgical records of patients who had undergone surgery for chronic tenosynovitis with rice body formation in our department from 1997 to 2015. We evaluated the causes of chronic tenosynovitis, culture findings, pathological findings, and post-operative treatment courses. Results: Nineteen patients with 23 involved hands underwent surgery for chronic tenosynovitis, and 9 patients had rice body formation. The most common cause of chronic tenosynovitis was non-tuberculous mycobacteriosis, and other causes were fungal infection and infection of unknown origin. Recurrence was observed in 2 cases of mycobacteriosis and 1 case of fungal infection; 1 case of mycobacteriosis also had a re-recurrence. Conclusions: In the diagnosis of chronic tenosynovitis with rice body formation, it is necessary to consider not only non-tuberculous mycobacteriosis, but also fungal infection as its origin. However, it is difficult to define the cause of synovitis, but in cases in which these infections are suspected, anti-bacterial therapy in the early post-surgical period could be effective.

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“…Most patients have an injury history and often require multiple operations as in this case [ 1 – 4 ]. The presence of ‘rice bodies’ is a characteristic intraoperative finding as well as tuberculosis [ 3 , 5 ]. Although the appropriate duration of chemotherapy is unclear, past studies recommended a 1–2-year treatment period [ 4 ].…”

Section: Legendmentioning

confidence: 99%

Refractory tenosynovitis with ‘rice bodies’ in the hand due to Mycobacterium intracellulare

Namkoong

Fukumoto²,

Hongo

et al. 2015

Infection

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Tenosynovitis: a rare presentation of tuberculosis better known by hand surgeons than infectious diseases specialists

Abstract: The diagnosis of tuberculous tenosynovitis should be considered in chronic tenosynovitis. Functional prognosis may be committed without adequate treatment.

Cited by 12 publications

References 28 publications

Tuberculosis, a Rare Cause of Hands Tenosynovitis: Two Case Reports

Tuberculosis, a Rare Cause of Hands Tenosynovitis: Two Case Reports

Non-tuberculous Mycobacterium or Fungus Induced Chronic Tenosynovitis with Rice Body of the Hand

Refractory tenosynovitis with ‘rice bodies’ in the hand due to Mycobacterium intracellulare

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