Patient with tuberculous flexor tenosynovitis of the hand

Panigrahi, Sibashish; Jain, Mantu; Panda, Ritesh; Puthiyapura, Lubaib Karaniveed

doi:10.1136/bcr-2021-243091

Cited by 8 publications

(5 citation statements)

References 14 publications

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“…In the current case, the TB tenosynovitis was present in the wrist joint. There are very few cases of TB of the synovial sheath of the flexor tendons of the hands involving the radial or ulnar bursa [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

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Recurrence of tuberculous tenosynovitis in wrist tendon of a butcher: rare case report

Abdulrahman,

Aziz,

Salih

et al. 2023

Journal of Surgical Case Reports

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Diagnosing of tuberculous arthritis can be challenging due to its insidious onset and non-specific clinical presentation. A high index of suspicion is required for early diagnosis. A 54-year-old butcher was admitted to an orthopedic clinic with complaints of pain, paresthesia and an enlarging mass in the left wrist, which limited finger flexion. Initially the patient was diagnosed with carpal tunnel syndrome (CTS); the patient had no history of tuberculosis (TB), but had direct contact with animals. On clinical examination, a small mass was found in the distal volar region of the forearm and no lymphadenopathy was observed. Despite the diagnosis the patient refused to receive TB treatment. After a period of 4 months, the patient once again exhibited symptoms of CTS. This case highlights the importance of considering TB as a potential etiology for persistent symptoms of carpal tunnel surgery. Early diagnosis and prompt initiation of TB treatment can result in favorable outcomes and can prevent future recurrence.

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Section: Discussionmentioning

confidence: 99%

“…At a far later stage, it begins to show long-lasting swelling, dull aching pain and a few other symptoms. The ulnar or radial bursae of the hand are the most often affected areas [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Recurrence of tuberculous tenosynovitis in wrist tendon of a butcher: rare case report

Abdulrahman,

Aziz,

Salih

et al. 2023

Journal of Surgical Case Reports

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“…As late presentation and diagnosis is very common among TB spine patients, a majority of literature (53%) focussed on early diagnosis and management of TB spine [13] . Among the axial skeleton involvement, thoracic spine comprises up to 50% cases, Lumbar and cervical regions are next in line in order of frequency [14,15] . Complications of cervical spine involvement are most severe.…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis of Bones and Joints in Orthopedic

Hannan¹,

Bilal²,

Basit³

et al. 2022

PJMHS

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Background: Mycobacterium Tuberculosis (TB) is a major global health concern and burden on developing countries economy. Pakistan ranks in top 10 countries of the world with high load of TB and a big chunk of this disease process is extra pulmonary TB (EPTB). Among extra pulmonary sites, is bone and joint TB is very common yet under reported. Recent literature has found up to 35% of all extra pulmonary cases are bone and joint TB. Purpose: We aim to do an analysis of frequency of bone and joint TB in our institution in all new patients getting registered for treatment of TB. Methodology: This was retrospective analysis 8 years of Data collected in Gulab Devi Hospital Lahore. Data was analyzed using Microsoft excel software and results are tabulated. Findings: Total number of new registered patients of Extra-pulmonary Tuberculosis (EPTB) were 13000 (20%). Out of these EPTB patients, bone and joint TB diagnosis was made in 690(5.3%) patients. Out of these 690 patients, 400 (58%) cases were recorded in Indoor facility and 290 (42%) cases were seen in outdoor facility. Most common site is Spine 340 cases (85%) followed by Hip joint 16 cases (4%), knee joint 12 cases (3%) and upper limb 16 cases (4%). Practical Implication: Regarding management of newly registered cases, Gulab Devi hospital is working in collaboration with world Health Organization TB control program and Provincial TB control Program Punjab (PTP). All new cases are managed by multi-disciplinary team and after initial registration are referred to their relevant specialties. Conclusion: Axial skeleton remains the most common site in al literature and so is the conclusion of our analysis. Detailed research work is still needed in several aspects of this ancient disease to reduce the morbidity and mortality associated with it. Keywords: Bone and joint TB, Pulmonary Tuberculosis, Extra pulmonary Tuberculosis

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“…Tenosynovitis (TS) of the upper limb could be infectious, noninfectious, or idiopathic in etiology. Tuberculous TS of the upper limbs is more common in the wrist, especially the ulnar bursa [ 1 , 2 ]. Of the infective etiology, the most common causative organism of TS is Staphylococcus aureus , which affects the tendons of flexion in the wrist [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

An Unusual Case of Tuberculous Tenosynovitis of the Hand

Kanchana,

Shankar

et al. 2024

Cureus

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Infectious tuberculous tenosynovitis (TS) is an unusual occurrence in the forearm, wrist, or hand. Here we report a case of tuberculous TS of the wrist in a 26-year-old male with no comorbidities. The patient presented with a nonhealing ulcer on the palmar aspect of the proximal part of the left little finger with restricted mobility. There were no other symptoms to confirm the existence of an active tuberculosis infection in this patient. This case report helps broaden our knowledge about the different presentations of tuberculous TS in a patient with no history of exposure to tuberculosis.

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Patient with tuberculous flexor tenosynovitis of the hand

Cited by 8 publications

References 14 publications

Recurrence of tuberculous tenosynovitis in wrist tendon of a butcher: rare case report

Recurrence of tuberculous tenosynovitis in wrist tendon of a butcher: rare case report

Tuberculosis of Bones and Joints in Orthopedic

An Unusual Case of Tuberculous Tenosynovitis of the Hand

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