Tuberculosis tenosynovitis with multiple rice bodies of the flexor tendons in the wrist: A case report

Abstract

HighlightsTherefore, although a rare diagnosis, tuberculosis of the tendon sheath should be kept in mind in developing countries. The reason is that the presentation and lab findings of tendon sheath tuberculosis are non-specific, making it hard to differentiate from other causes for this condition. For example a wrist tuberculosis may present with carpal tunnel symptoms. While MR sequences, especially T2, may give hints of tuberculosis, these can be easily misinterpreted as pigmented villonodular synovitis.All these may cause a delay in diagnosis. In order to prevent any delay in diagnostic evaluation, all steps should be taken carefully.Wide debridements to alleviate the symptoms of wrist tuberculosis is not enough a treatment. It is true that wide debridements quickly lessens the symptoms; however, the actual treatment of the condition is antituberculosis treatment directed at the causative organism. Antituberculosis medications are needed to decrease recurrence levels and avoid complications.

Compound palmar ganglion associated with tuberculous arthritis of wrist causing compression of the median and ulnar nerves: Management

“…The other series of case reports by Arun Kumar et al, 18 Seiichi Higuchi et al 2 , Khurshid Ahmad Baht et al, 19 Sarkan Bayram et al, 20 Michel N' guessen Anoumou et al 21 showed no radiological evidence of arthritic changes of radiocarpal and distal radio-ulnar joint and involvement of both median and ulnar nerve as in our study. In none of the above case reports, involvement of the nerve was assessed by nerve conduction study.…”

Tuberculous tenosynovitis of the flexor tendons of the wrist: a case report

“…However, it is still of public health importance due to the challenges with diagnosis and treatment [5]. It mainly affects the respiratory system but may affect other organs.…”

A rare presentation of tuberculosis

“…Bayram [4]. In most instances as observed in our case, the patients are treated for arthritic diseases or cellulitis at the initial encounter by the medical practitioners [4]. These patients may or may not have history and examination findings suggestive of tuberculosis.…”

“…Due to the rare occurrence of hand infection in tuberculosis; the diagnosis is made rather later in the course of the disease [3]. Bayram [4]. In most instances as observed in our case, the patients are treated for arthritic diseases or cellulitis at the initial encounter by the medical practitioners [4].…”