El bileği fleksör tendonlarında tüberküloz tenosinovit: Olgu sunumu

Year 2014, , 690 - 692, 16.01.2015

Michel N’guessan Anoumou Maurice Kouame Thomas Daix Armand Yepie

https://doi.org/10.3944/AOTT.2014.3168

Abstract

Nadir bir tüberküloz formu olan ekstrapulmoner tüberkülozun gerek tanı, gerekse tedavisi zordur. Bu çalışmada eklem dışı tüberküloz tenosinoviti olan 45 yaşında bir hastayı değerlendirdik. Hastanın şikayetleri, De Quervain hastalığını ve karpal tünel sendromunu taklit ediyordu. Hastada patolojik tanı sonrası 6 aylık antitüberküler kemoterapi ile iyileşme sağlandı.

Keywords

Tenosinovit; mycobacterium tuberculosis; fleksör tendonlar; el bileği.

Tuberculosis tenosynovitis of the flexor tendons in the wrist: a case report

Abstract

Extra-pulmonarytuberculosis is a rare form of tuberculosis that can pose diagnostic and therapeutic challenges. We report a case of extra-articular tuberculosis tenosynovitis in a 45-year immunocompetent patient. The symptoms of the patient mimicked De Quervain’s disease and carpal tunnel syndrome. Following pathological confirmation of the diagnosis, the patient recovered following a six-month antitubercular chemotherapy.

Keywords

Tenosynovitis, mycobacterium tuberculosis, flexor tendons, wrist

References

• World Health Organization. Global tuberculosis control- epidemiology, strategy, financing. WHO report 2009 (WHO/HTM/TB/2009(p.411)).
• Gester. Affections des gaines synoviales. Encycl.Med. Chir.1987 Appareil locomoteur, 15153 A10,9:8.
• De Vuyst D, Vanhoenacker F, Gielen J, Bernaerts A, De Schepper AM. Imaging features of musculoskeletal tuber- culosis. Eur Radiol 2003;13:1809-19.
• Fnini S, Ouarab M, Rafai M, Cohen D, Largab A, Trafeh M. An uncommon occupational accident: tuberculous te- nosynovitis of the extensor tendons of the hand. [Article in French] Chir Main 1999;18:309-12. [Abstract]
• Dumontier C, Maylin V, Sautet A, Lenoble E, Urban T, Apoil A. Rupture of the flexor tendon of the hand caused by tuberculosis. [Article in French] Rev Chir Orthop Reparatrice Appar Mot 1996;82:668-71. [Abstract]
• Benchakroun M, El Bardouni A, Zaddoug O, Kharmaz M, El Yaacoubi M, Ouadghiri M, et al. Tuberculosis of the wrist. Symptoms and outcome in eleven cases. [Ar- ticle in French] Rev Chir Orthop Reparatrice Appar Mot 2004;90:337-45. [Abstract]
• Lee KE. Tuberculosis presenting as carpal tunnel syn- drome. J Hand Surg (Am) 1998;13:574-6.
• Kang HJ, Park SY, Shin SJ, Kang ES, Hahn SB. Tubercu- lous tenosynovitis presenting as carpal tunnel syndrome. J Korean Soc Surg Hand 2009;5:137-41.
• Wallach F, Masmejean E. Carpal tunnel syndrome. When to operate? La revue du praticien-medecine générale 2006;20:716-7.
• Chen WS, Eng HL. Tuberculous tenosynovitis of the wrist mimicking de Quervain’s disease. J Rheumatol 1994;21:763-5.
• Kang HJ, Jung SH, Yoon HK, Hahn SB, Kim SJ. Carpal tunnel syndrome caused by space occupying lesions. Yon- sei Med J 2009;50:257-61.
• Latil F, Magalon G, Dreant J, Roffe JL, Decaillet JM, Bu- reau H. Current aspects of tuberculous tenosynovitis. A report of six cases. [Article in English, French] Ann Chir Main 1982;1:336-41. [Abstract]
• Kanavel AB. Tuberculosis tenosynovitis of the hand: A re- port of fourteen cases of tuberculosis tenosynovitis. Surg Gynecol Obstet 1923;37:635-47.
• Laulan J, Jeannou J, Goupille P. Tendinits of the hand and the wrist. Rev Rheum 2001;68:497-504b
• Pertuiset E. Tuberculsis of bone and joint members. EMC-Rheumatologie Orthopédie 2004;463-86.