title: Pseudotumoral form of soft-tissue tuberculosis of the wrist.
abstract: 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 Löwenstein-Jensen medium detected Mycobacterium tuberculosis. Synovectomy with removal of all the rice bodies followed by anti-tuberculous chemotherapy provided uneventful recovery.
authors.affiliation: Orthopedic Surgery and Trauma Department, Maamouri Hospital, Nabeul, Tunisia. Electronic address: mohamedali.sbai@rns.tn.
authors.forename: Mohamed Ali
authors.initials: MA
authors.lastname: Sbai
authors.affiliation: Orthopedic Surgery and Trauma Department, Maamouri Hospital, Nabeul, Tunisia.
authors.forename: Sofien
authors.initials: S
authors.lastname: Benzarti
authors.affiliation: Orthopedic Surgery and Trauma Department, Maamouri Hospital, Nabeul, Tunisia.
authors.forename: Hichem
authors.initials: H
authors.lastname: Msek
authors.affiliation: Emergency Department, Mongi Slim Hospital, Tunis, Tunisia.
authors.forename: Monia
authors.initials: M
authors.lastname: Boussen
authors.affiliation: Orthopedic Surgery and Trauma Department, Maamouri Hospital, Nabeul, Tunisia.
authors.forename: Adel
authors.initials: A
authors.lastname: Khorbi
mesh_terms: D006104:Granuloma, Plasma Cell / Q000175:diagnosis* / Q000382:microbiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D018461:Soft Tissue Infections / Q000382:microbiology*; D013717:Tenosynovitis / Q000382:microbiology; D014376:Tuberculosis / Q000175:diagnosis* / Q000382:microbiology; D014953:Wrist / Q000473:pathology / Q000601:surgery; D014955:Wrist Joint / Q000473:pathology
keywords: Mycobacterium tuberculosis; Pseudotumoral form; Rice bodies; Tenosynovitis; Tuberculosis; Wrist