Tuberculous extensor tenosynovitis of the hand.
Tuberculous tenosynovitis is a rare manifestation of extrapulmonary tuberculosis (Tb), especially if solely the dorsal hand compartment is affected. In this report, we present the medical history of an immuno-competent 32-year-old man presented with a painful swelling of the right dorsal wrist. Initial inflammation onset had occurred 6 months before he consulted our service, resulting in consultation of several physicians and extensive diagnostic procedures without gaining a specific diagnosis. Finally, after extensive diagnostic tests, a tenosynovectomy was performed and tuberculosis-induced extensor tenosynovitis was detected. The diagnosis was established by positive histology, repeated specific PCR and T-SPOT.TB. Tuberculous tenosynovitis can easily be overlooked as a cause of chronic tenosynovitis particularly in immunocompetent young people lacking any risk factors.
Department of Oral and Maxillofacial Surgery, Ludwig-Maximilians-Universität München, Lindwurm Str. 2a, 80337, Munich, Germany.
Florian A
FA
Probst
Michael
M
Koch
Jörn
J
Lohmeyer
Hans-Günther
HG
Machens
Jan-Thorsten
JT
Schantz
D000328:Adult; D006225:Hand; D050276:Hand Bones; D006801:Humans; D008297:Male; D013717:Tenosynovitis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D014394:Tuberculosis, Osteoarticular / Q000175:diagnosis / Q000628:therapy