Atypical mycobacterial tenosynovitis and bursitis of the wrist.
Atypical mycobacterial tenosynovitis of the wrist can easily be misdiagnosed as synovial chondromatosis. Both sonography and magnetic resonance imaging plays an important role in depicting "rice bodies" within the distended tendon sheaths and bursae of atypical mycobacterial infection. An endemic place for Mycobacterium species and the occupation of the patient should raise the suspicion for the disease. Polymerase chain reaction of the distended tendon fluid is a sensitive, specific and rapid method in identification of the mycobacteria.
Department of Radiology, Gülhane Military Medical Academy, Ankara, Turkey. tubasanal@yahoo.com
Hatice Tuba
HT
Sanal
Fatih
F
Zor
Murat
M
Kocaoğlu
Nail
N
Bulakbaşi
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002062:Bursitis / Q000000981:diagnostic imaging* / Q000209:etiology / Q000382:microbiology; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D019910:Mycobacterium marinum / Q000235:genetics / Q000302:isolation & purification; D016133:Polymerase Chain Reaction; D011859:Radiography; D013717:Tenosynovitis / Q000000981:diagnostic imaging / Q000382:microbiology*; D013752:Tetracycline / Q000627:therapeutic use; D014463:Ultrasonography; D014955:Wrist Joint / Q000000981:diagnostic imaging*; D055815:Young Adult
D000900:Anti-Bacterial Agents; D013752:Tetracycline