title: A Rare Case of Primary Tuberculous Tenosynovitis in a Young Patient with an Acute History.
abstract: We present a rare case of primary tuberculous tenosynovitis in a young patient with an acute history of non-penetrating traumatic injury. The patient had recently visited Pakistan and presented with sudden onset pain at the base of their right fifth digit after trying to catch a cricket ball. A provisional diagnosis of haematoma was made; however, ultrasonography revealed a mass attached to the A2 pulley. Surgical excision followed by histological examination and culture identified Mycobacterium Tuberculosis infection. This case serves to raise clinical awareness of this rare condition and highlight the importance of obtaining a travel history.
authors.affiliation: * Medical Sciences Division, University of Oxford, Oxford, United Kingdom.
authors.forename: Alistair J M
authors.initials: AJ
authors.lastname: Reed
authors.affiliation: † The Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), Botnar Research Centre, University of Oxford, Windmill Road, Oxford, United Kingdom.
authors.forename: Jeremy N
authors.initials: JN
authors.lastname: Rodrigues
authors.affiliation: ‡ Bradford Royal Infirmary, Bradford, United Kingdom.
authors.forename: Sharif
authors.initials: S
authors.lastname: Al-Ghazal
authors.affiliation: § Northern General Hospital, Sheffield, United Kingdom.
authors.forename: Zakir
authors.initials: Z
authors.lastname: Shariff
mesh_terms: D000208:Acute Disease; D000995:Antitubercular Agents / Q000627:therapeutic use; D005385:Fingers / Q000000981:diagnostic imaging*; D006406:Hematoma; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods; D013717:Tenosynovitis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D014394:Tuberculosis, Osteoarticular / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D014463:Ultrasonography; D055815:Young Adult
chemical_list: D000995:Antitubercular Agents
keywords: Finger; Infection; Tenosynovitis; Tuberculosis