White tumor of the wrist: A rare localization of tuberculosis

Fianyo, Eyram; Oniankitan, Owonayo; Agoda-Koussema, LK; Koffi-Tessio, V; Mijiyawa, M

doi:10.1016/j.ejr.2014.05.003

Cited by 7 publications

(7 citation statements)

References 13 publications

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“…A satellite, epitrochlear or axillary lymphadenopathy, radio-carpal subluxation or compression of the median nerve may be associated [7][8][9][10][11] . Exceptional pseudo-tumor forms have been reported by E. Fianyo [2] , and K.C. Wu [12] .…”

Section: Discussionmentioning

confidence: 90%

“…The wrist is a rare localization of tuberculosis. It represents 1% of bone and joint tuberculosis [1][2][3] . The disease generally begins in the scapho-lunar joint following haematogenic inoculation of the articular synovium in two thirds of cases, or inoculation by contiguity from tuberculosis tenosynovitis in third of cases [4,5] .…”

Section: Discussionmentioning

confidence: 99%

“…Carpal bone involvement is radiologically indicated by marginal erosions or cystic lesions due to intra-osseous granulomas [6] . At advanced stages, the involvement is more destructive with multi geodes of all the carpal bones, the lower extremity of the two bones of the forearm and the base of the metacarpals [2,4,8,9] . A non-traumatic fracture of the carpal bones can be objectified.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnostic certainty is provided by bacteriological proof and / or the presence of a tuberculous granuloma in the histological examination. The treatment is essentially medical, varying in duration, depending on the practitioner, from 8 to 13 months [2,4,6,8,9] . Under medical treatment alone, with or without immobilization, the evolution can be made towards healing.…”

Section: Discussionmentioning

confidence: 99%

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Tuberculosis of the wrist: A rare case of osteoarticular tuberculosis

Lajmi¹,

Jemaa²,

Abid³

et al. 2022

Int. J. Case Rep. Orthop.

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Tuberculosis is an infectious disease which represents a real public health problem. Bone and joint involvement is rare. Although its location in the wrist is exceptional, it should always be considered in case of chronic pain especially in endemic countries. We report the case of a 22-year-old young man, from urban origin, who suffered from a painful and inflammatory right wrist developed after a benign trauma. Tuberculin skin test was positive. The search of Mycobacterium tuberculosis in sputum and urine was negative. Laboratory tests showed an inflammatory syndrome without hyper-leukocytosis. A destructive osteo-arthritis was showed by radiological exploration which has been well analyzed by MRI. Surgical drainage and immobilization by external fixation were done. Microbiological culture of per-operative sampling was negative. The search of Mycobacterium tuberculosis on direct examination and culture was negative. Surgical biopsy confirmed the tuberculous origin showing a giant cell granuloma centered by a caseous necrosis indicating then the initiation of anti-tuberculous therapy. After four years of follow-up, a good evolution was noted and the patient had an acceptable useful function. Tuberculosis of the wrist remains a rare location of the disease. It has to be suspected in case of every chronic wrist pain in endemic area. Conservative management offers good results only at early stages.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Tuberculosis of the wrist: A rare case of osteoarticular tuberculosis

Lajmi¹,

Jemaa²,

Abid³

et al. 2022

Int. J. Case Rep. Orthop.

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“…Mycobacterium tuberculosis bacteria can infect any bone, joint, tendon or bursa; however, the spine is one of the most common musculoskeletal sites for infection [2]. In a case from another African country, rare TB localization of the wrist has been described and it has been suggested that nonspecific chronic wrist arthritis, especially if the patient is immunocompromised HIV infected should raise suspicion of TB [3]. In another case, isolated sacral tuberculosis was reported and it has been reported that a high degree of suspicion is needed in the presence of atypical clinical and radiological features particularly in Black Africa [4].…”

Section: Introductionmentioning

confidence: 98%

Isolated tuberculous arthritis of the dorsal facet joint

Maatallah

Abdelghani

Abdellatif

et al. 2016

The Egyptian Rheumatologist

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Introduction: Septic arthritis of the facet joint is a severe infection. The lumbar spine is frequently involved; the dorsal one is rarely affected.Case report: We present a case of a patient with a history of right cervicobrachial neuralgia with anorexia and asthenia without fever. Performed investigations had concluded to tuberculous arthritis of the dorsal facet joint. The tuberculous etiology is an originality of our observation since it has been reported in only one case. In the absence of histological and bacteriological proof, the diagnosis was established according to clinical, epidemiological and biological data. Treatment was based on antitubercular antibiotics.Conclusion: The tuberculous origin of septic facet joint should be considered in front of trolling and unexplained back pain, especially in endemic countries.

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