Tuberculosis tenosynovitis with multiple rice bodies of the flexor tendons in the wrist: A case report.
BACKGROUND
One of the infectious causes of wrist tenosynovitis is Mycobacterium tuberculosis. Tendon sheath involvement is rare. Herein, we report the diagnosis and treatment of a patient with neglected wrist flexor tendon sheath tuberculosis.


METHODS
We report the diagnosis and treatment of a man aged 50 years with neglected wrist flexor tendon sheath tuberculosis.


CONCLUSIONS
In patients with tendon sheath involvement, symptoms are generally non-specific such as pain and swelling; therefore, it can be diagnosed late due to the lack of systemic symptoms. Wrist X-ray imaging in tenosynovitis may show soft tissue swelling and osteoporotic changes around the wrist joint. T2-weighted sequences in magnetic resonance imaging are more successful in supporting the diagnosis.


CONCLUSIONS
M. tuberculosis should be kept in mind as an infectious agent, especially in developing countries. In order to prevent any delay in diagnostic evaluation, all steps should be taken carefully.
Department of Orthopaedics and Traumatology, Istanbul University Faculty of Medicine, İstanbul, Turkey. Electronic address: dr.serkanbayram89@gmail.com.
Serkan
S
Bayram
Department of Orthopaedics and Traumatology, Istanbul University Faculty of Medicine, İstanbul, Turkey.
Ali
A
Erşen
Department of Orthopaedics and Traumatology, Istanbul University Faculty of Medicine, İstanbul, Turkey.
Murat
M
Altan
Department of Orthopaedics and Traumatology, Istanbul University Faculty of Medicine, İstanbul, Turkey.
Hayati
H
Durmaz
Flexor tendon synovitis; Rice bodies; Seronegative spondyloarthropathy; Tuberculosis case reports; Wrist