Musculosceletal Tuberculosis with Involvement of Tendon Sheaths and Formation of Synovial Cyst

Abstract

Due to an increasing amount of patients on immunosuppressive treatment, the number of tuberculosis (TB) of atypical course and extrapulmonary tuberculosis cases increase. Locomotor system is a place of every fifth case of extrapulmonary TB. Because of lack of characteristic symptoms, as well as rare co-occurrence of active lung lesions in radiological imaging, proper diagnosis is hard to establish. We present a case of patient on immunosuppressive therapy due to myositis, in whom we diagnosed musculoskeletal tuberculosis in form of involvement of tendon sheath and formation of synovial cyst.

A Rare Case of Flexor Tenosynovitis Due to Tuberculosis in Hand and Wrist: a Case Report

“…Although in recent years the incidence of pulmonary tuberculosis decreased in the world, extrapulmonary tuberculosis that accounts for 15% of tuberculosis cases is increasing (6). A place of every fifth case of extrapulmonary tuberculosis is the locomotor system (14). Most of the musculoskeletal TB involves the spine (9).…”

“…Most of the musculoskeletal TB involves the spine (9). Although the extrapulmonary form of tuberculosis is rare, tendon sheath involvement is even rarer (14). Tuberculosis joint involvement if untreated can cause serious joint and tendon destruction.…”