Pseudotumoral form of soft-tissue tuberculosis of the wrist

被引：14

作者：

Sbai, Mohamed Ali ^{[1
]}

Benzarti, Sofien ^{[1
]}

Msek, Hichem ^{[1
]}

Boussen, Monia ^{[2
]}

Khorbi, Adel ^{[1
]}

机构：

[1] Maamouri Hosp, Orthoped Surg & Trauma Dept, Nabeul 8000, Tunisia

[2] Mongi Slim Hosp, Emergency Dept, Tunis, Tunisia

来源：

INTERNATIONAL JOURNAL OF MYCOBACTERIOLOGY | 2016年 / 5卷 / 01期

关键词：

Tuberculosis; Mycobacterium tuberculosis; Pseudotumoral form; Tenosynovitis; Rice bodies; Wrist;

D O I：

10.1016/j.ijmyco.2015.08.001

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Tuberculosis is a major public health problem in developing countries. Hand and wrist is a rare localization for extra-pulmonary tuberculosis, a pseudotumoral form of soft tissue tuberculosis of the wrist is exceptional. We report the case of a 45-year-old male presenting with a painful swelling of the dorsal aspect of the right wrist evolving for six months. Clinical study was evoking a ganglion cyst of the wrist. Intraoperatively a pseudotumoral mass with rice bodies was found, suggesting tuberculous tenosynovitis. The histopathological study revealed caseating giant cell granulomas with epithelioid cells. Cultures on Lowenstein-Jensen medium detected Mycobacterium tuberculosis. Synovectomy with removal of all the rice bodies followed by anti-tuberculous chemotherapy provided uneventful recovery. (C) 2015 Asian African Society for Mycobacteriology. Production and hosting by Elsevier Ltd. All rights reserved.

引用

页码：99 / 101

页数：3

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