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
收藏
页码：99 / 101
页数：3
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