Horseshoe abscess of the hand with rice bodies secondary to mycobacterium avium intracellulare infection

Matcuk, George R.; Patel, Dakshesh B.; Lefebvre, Rachel

doi:10.1016/j.clinimag.2020.02.015

Cited by 7 publications

(21 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…5 16 20 Ten cases of MAI in the upper extremity resulted in osteomyelitis, 1 2 3 5 9 14 16 18 20 21 and six cases of MAI in the upper extremity presented with septic arthritis. 2 3 5 9 18 20 Fourteen cases of MAI in the upper extremity caused atypical carpal tunnel syndrome. 4 6 7 8 10 11 16 17 18 19 20 26 27…”

Section: Discussionmentioning

confidence: 99%

“…2 3 5 9 18 20 Fourteen cases of MAI in the upper extremity caused atypical carpal tunnel syndrome. 4 6 7 8 10 11 16 17 18 19 20 26 27…”

Section: Discussionmentioning

confidence: 99%

“…8 29 30 31 Surgical debridement was performed on 39 of 42 cases found in the literature. 1 2 3 4 5 7 8 9 10 11 12 13 14 16 17 18 19 20 21 22 23 24 25 26 27 28 Thirty-four patients needed a combination of surgical debridement and antibiotics. 1 2 3 4 7 8 9 10 11 12 13 14 16 17 18 20 21 22 24 25 26 27 28 There were only five cases in which the infection was successfully treated only with debridement 5 19 22 23 26 and only two cases in which antibacterial therapy alone was able to eradicate the infection.…”

Section: Discussionmentioning

confidence: 99%

“…1 2 3 4 5 7 8 9 10 11 12 13 14 16 17 18 19 20 21 22 23 24 25 26 27 28 Thirty-four patients needed a combination of surgical debridement and antibiotics. 1 2 3 4 7 8 9 10 11 12 13 14 16 17 18 20 21 22 24 25 26 27 28 There were only five cases in which the infection was successfully treated only with debridement 5 19 22 23 26 and only two cases in which antibacterial therapy alone was able to eradicate the infection. 6 15 Thus, it appears prudent to apply both surgical debridement and antibiotic therapy in the treatment of infection with MAI; the use of both surgical debridement and antibiotic therapy was effective in the present case.…”

Section: Discussionmentioning

confidence: 99%

“…Tenosynovial infections of MAI of the hand and wrist have been rarely reported, but they can occur through direct inoculation or disseminated pulmonary disease. 2 The most common presentations of MAI tenosynovitis of the hand or wrist have been acute flexor tenosynovitis, 1 2 4 5 6 7 8 9 10 11 12 14 16 17 18 19 20 21 22 23 24 25 26 27 28 carpal tunnel syndrome, 4 6 7 8 10 11 16 17 18 19 20 26 27 and, less commonly, osteomyelitis 1 2 3 5 9 14 16 18 20 21 or septic arthritis. 2 3 5 9 18 20 Consensus for treatment is lacking, although published reports have shown that a combination of surgical excision and/or long-term antimycobacterial therapy has been successful.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Septic Mycobacterium Avium Intracellulare Extensor Tenosynovitis of the Wrist

et al. 2022

View full text Add to dashboard Cite

Mycobacterium avium intracellulare (MAI) infections of the hand, wrist, and upper extremity are rare, but potentially devastating atypical mycobacterial infections that can affect tendon, bone, and other soft tissues of the musculoskeletal system. We present an immunocompromised patient presenting with acute swelling and pain in the dorsum of the hand and wrist that underwent a wrist extensor tenosynovectomy with intraoperative cultures revealing infection with MAI. The patient developed severe progression of the infection with osteomyelitis of the distal forearm and carpal bones, multiple subsequent extensor tendon ruptures, and dorsal skin necrosis. The infection was eradicated with a combination of surgical treatment and antibiotic therapy. The case is discussed in context of the prior scant literature of infectious tenosynovitis of the hand, wrist, and upper extremity caused by MAI. This case report and literature review outline recommendations for diagnosis and effective treatment of MAI.

show abstract

Section: Discussionmentioning

confidence: 99%

“…2 3 5 9 18 20 Fourteen cases of MAI in the upper extremity caused atypical carpal tunnel syndrome. 4 6 7 8 10 11 16 17 18 19 20 26 27…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Septic Mycobacterium Avium Intracellulare Extensor Tenosynovitis of the Wrist

et al. 2022

View full text Add to dashboard Cite

show abstract

Adalimumab/prednisone

2020

Reactions Weekly

View full text Add to dashboard Cite

Idiopathic tenosynovitis of the wrist with multiple rice bodies: A case report and review of literature

Tian¹,

Zhou²,

Yi³

et al. 2022

World J Clin Cases

View full text Add to dashboard Cite

BACKGROUND Multiple rice bodies in the wrist is a rare disorder that requires surgery, and there are still many uncertainties regarding its diagnosis and treatment. CASE SUMMARY We described a rare case of chronic idiopathic tenosynovitis with rice bodies of the wrist in a 71-year-old man and reviewed similar topics in the literature. A total of 43 articles and 61 cases were included in the literature review. Our case had a usual presentation: it was similar to those in the literature. The affected population was mainly older adults, with an average age of 59.43 (range, 3 to 90) years. The male-to-female ratio was 1.54:1 (37/24).Most of them showed limited swelling and pain, only 23.0% had carpal tunnel symptoms, and the average disease duration was 18.03 (0.5-60) mo. Wrist flexor tendon sheath involvement was the most common (95.1%, 58/61), and only 3 cases had extensor tendon sheath involvement.The main causes were tuberculosis (34.4%, 21/61), non-tuberculous mycobacteria (24.6%, 15/61), idiopathic tenosynovitis (31.1%, 19/61), and others (9.84%, 6/61). There were 10 patients with recurrences; in 6 of them, were due to non-tuberculous mycobacterial infections. CONCLUSION We reported a case of wrist idiopathic tenosynovitis with rice body formation, and established a clinical management algorithm for wrist tenosynovitis with rice bodies, which can provide some reference for our clinical diagnosis and treatment. The symptoms of rice-body bursitis of the wrist are insidious, nonspecific, and difficult to identify. The aetiology is mainly idiopathic tenosynovitis and mycobacterial (tuberculosis or non-tuberculous) infections; the latter are difficult to treat and require long-duration systemic combination antibiotic therapies. Therefore, before a diagnosis of idiopathic tenosynovitis is made, we must exclude other causes, especially mycobacterial infections.

show abstract

Horseshoe abscess of the hand with rice bodies secondary to mycobacterium avium intracellulare infection

Cited by 7 publications

References 31 publications

Septic Mycobacterium Avium Intracellulare Extensor Tenosynovitis of the Wrist

Septic Mycobacterium Avium Intracellulare Extensor Tenosynovitis of the Wrist

Adalimumab/prednisone

Idiopathic tenosynovitis of the wrist with multiple rice bodies: A case report and review of literature

Contact Info

Product

Resources

About