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TUBERCULOUS TENOSYNOVITIS PRESENTING ITSELF AS CARPAL TUNNEL SYNDROME AND WRIST GANGLION

Year 2013, Volume: 76 Issue: 3, 55 - 58, 21.11.2013

Abstract

Tuberculosis caused by Mycobacterium tuberculosis is a well known and one of the oldest infectious diseases to affect humans. There is a recent increase of its incidence due to development of resistance to antituberculosis drugs and conditions associated with immunodeficiency such as AIDS and chemotherapy. As a result, unusual presentations of tuberculosis have been encountered more frequently in the last decade. Although soft tissue tuberculosis is a well recognized form of extrapulmonary tuberculosis, primary tuberculous tenosynovitis is rare. We report an immunocompetent male patient with a very rare presentation of extrapulmonary tuberculosis, tuberculous tenosynovitis of the wrist, presenting itself as carpal tunnel syndrome and wrist ganglion.

References

  • Cramer K, Seiler JG, Milek MA. Tuberculous tenosynovitis of the wrist: two case reports. Clin Orthop Relat Res 1991;262:137–140.
  • Jaovisidha S, Chen C, Ryu KN, Siriwongpairat P, Pekanan P, Sartoris DJ, Resnick D. Tuberculous tenosynovitis and bursitis: imaging findings in 21 cases. Radioiogy 1996; 201:507-13.
  • Kotwal PP, Khan SA. Tuberculosis of the hand: clinical presentation and functional outcome in 32 patients. J Bone Joint Surgery Br. 2009; 91B, 105410
  • Patel MR, Malaviya GN, Sugar AM. Chronic infections. In: Greens operative hand surgery. Eds: Green DP, Hotchkiss RN, Pederson WC, Wolfe SW. 5 th ed. Philadelphia: Elsevier-Churchill Livingstone 2005: 94-158.
  • Ruhwald M, Aabye MG, Ravn P: IP-10 release assays in the diagnosis of tuberculosis infection: current status and future directions. Expert Rev Mol Diagn 2012; 12:175-87.
  • Sanders CJ, Schucany WG. Tuberculous tenosynovitis. Proc (Bayl Univ Med Cent). 2008; 21: 71–
  • Suso S, Peidro L, Ramon R. Tuberculous synovitis with “rice bodies” presenting as carpal tunnel syndrome. J Hand Surg Am 1988;13A:574–576.
  • Tappeiner G, Wolff K. Tuberculosis and other mycobacterial infections. In: Dermatology in General Medicine. Eds: Fitzpatrick TB, Freedberg IM, Eisen AZ, Wolff K. 4 th ed. New York: McGraw-Hill Company, 1999: 2274-92.
  • Woon CY, Phoon ES, Lee JY, Puhaindran ME, Peng YP, Teoh LC. Rice bodies, millet seeds, and melon seeds in tuberculous tenosynovitis of the hand and wrist. Ann Plast Surg. 2011 Jun;66(6):610-7.

KARPAL TÜNEL SENDROMU ve BİLEKTE GANGLİON ŞEKLİNDE GÖZÜKEN TÜBERKÜLOZ TENOSİNOVİTİ: Olgu sunumu

Year 2013, Volume: 76 Issue: 3, 55 - 58, 21.11.2013

Abstract

Mikobakteryum tüberkülozis tarafından oluşturulan tüberküloz insanoğlunu etkileyen, iyi bilinen en eski enfeksiyon hastalıklarından biridir. Antitüberkülo ilaçlara karşı gelişen direnç ve AİDS- kemoterapi gibi nedenlerle oluşan immün yetmezlik tüberküloz insidensinde artışa yol açmıştır. Bu nedenlerle son yıllarda alışılmışın dışında tüberküloz tablolarıyla karşılaşılmaktadır. Yumuşak doku tüberkülozu ekstrapulmoner tüberkülozun çok tanınan şekli olmasına rağmen primer tüberküloz tenosinoviti nadir görülür. Bu çalışmada, ekstrapulmoner tüberkülozun nadir görülen formlarından tüberküloz sinovitin kendisini klinik olarak karpal tunnel sendromu ve bilekte ganglion olarak gösterdiği olgu sunulmaktadır.

References

  • Cramer K, Seiler JG, Milek MA. Tuberculous tenosynovitis of the wrist: two case reports. Clin Orthop Relat Res 1991;262:137–140.
  • Jaovisidha S, Chen C, Ryu KN, Siriwongpairat P, Pekanan P, Sartoris DJ, Resnick D. Tuberculous tenosynovitis and bursitis: imaging findings in 21 cases. Radioiogy 1996; 201:507-13.
  • Kotwal PP, Khan SA. Tuberculosis of the hand: clinical presentation and functional outcome in 32 patients. J Bone Joint Surgery Br. 2009; 91B, 105410
  • Patel MR, Malaviya GN, Sugar AM. Chronic infections. In: Greens operative hand surgery. Eds: Green DP, Hotchkiss RN, Pederson WC, Wolfe SW. 5 th ed. Philadelphia: Elsevier-Churchill Livingstone 2005: 94-158.
  • Ruhwald M, Aabye MG, Ravn P: IP-10 release assays in the diagnosis of tuberculosis infection: current status and future directions. Expert Rev Mol Diagn 2012; 12:175-87.
  • Sanders CJ, Schucany WG. Tuberculous tenosynovitis. Proc (Bayl Univ Med Cent). 2008; 21: 71–
  • Suso S, Peidro L, Ramon R. Tuberculous synovitis with “rice bodies” presenting as carpal tunnel syndrome. J Hand Surg Am 1988;13A:574–576.
  • Tappeiner G, Wolff K. Tuberculosis and other mycobacterial infections. In: Dermatology in General Medicine. Eds: Fitzpatrick TB, Freedberg IM, Eisen AZ, Wolff K. 4 th ed. New York: McGraw-Hill Company, 1999: 2274-92.
  • Woon CY, Phoon ES, Lee JY, Puhaindran ME, Peng YP, Teoh LC. Rice bodies, millet seeds, and melon seeds in tuberculous tenosynovitis of the hand and wrist. Ann Plast Surg. 2011 Jun;66(6):610-7.
There are 9 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Reports
Authors

Selma Sönmez Ergün

Reşit Kayan This is me

Azize Başar Gürsoy This is me

Zühal Gücin This is me

Publication Date November 21, 2013
Submission Date November 21, 2013
Published in Issue Year 2013 Volume: 76 Issue: 3

Cite

APA Sönmez Ergün, S., Kayan, R., Başar Gürsoy, A., Gücin, Z. (2013). TUBERCULOUS TENOSYNOVITIS PRESENTING ITSELF AS CARPAL TUNNEL SYNDROME AND WRIST GANGLION. Journal of Istanbul Faculty of Medicine, 76(3), 55-58.
AMA Sönmez Ergün S, Kayan R, Başar Gürsoy A, Gücin Z. TUBERCULOUS TENOSYNOVITIS PRESENTING ITSELF AS CARPAL TUNNEL SYNDROME AND WRIST GANGLION. İst Tıp Fak Derg. September 2013;76(3):55-58.
Chicago Sönmez Ergün, Selma, Reşit Kayan, Azize Başar Gürsoy, and Zühal Gücin. “TUBERCULOUS TENOSYNOVITIS PRESENTING ITSELF AS CARPAL TUNNEL SYNDROME AND WRIST GANGLION”. Journal of Istanbul Faculty of Medicine 76, no. 3 (September 2013): 55-58.
EndNote Sönmez Ergün S, Kayan R, Başar Gürsoy A, Gücin Z (September 1, 2013) TUBERCULOUS TENOSYNOVITIS PRESENTING ITSELF AS CARPAL TUNNEL SYNDROME AND WRIST GANGLION. Journal of Istanbul Faculty of Medicine 76 3 55–58.
IEEE S. Sönmez Ergün, R. Kayan, A. Başar Gürsoy, and Z. Gücin, “TUBERCULOUS TENOSYNOVITIS PRESENTING ITSELF AS CARPAL TUNNEL SYNDROME AND WRIST GANGLION”, İst Tıp Fak Derg, vol. 76, no. 3, pp. 55–58, 2013.
ISNAD Sönmez Ergün, Selma et al. “TUBERCULOUS TENOSYNOVITIS PRESENTING ITSELF AS CARPAL TUNNEL SYNDROME AND WRIST GANGLION”. Journal of Istanbul Faculty of Medicine 76/3 (September 2013), 55-58.
JAMA Sönmez Ergün S, Kayan R, Başar Gürsoy A, Gücin Z. TUBERCULOUS TENOSYNOVITIS PRESENTING ITSELF AS CARPAL TUNNEL SYNDROME AND WRIST GANGLION. İst Tıp Fak Derg. 2013;76:55–58.
MLA Sönmez Ergün, Selma et al. “TUBERCULOUS TENOSYNOVITIS PRESENTING ITSELF AS CARPAL TUNNEL SYNDROME AND WRIST GANGLION”. Journal of Istanbul Faculty of Medicine, vol. 76, no. 3, 2013, pp. 55-58.
Vancouver Sönmez Ergün S, Kayan R, Başar Gürsoy A, Gücin Z. TUBERCULOUS TENOSYNOVITIS PRESENTING ITSELF AS CARPAL TUNNEL SYNDROME AND WRIST GANGLION. İst Tıp Fak Derg. 2013;76(3):55-8.

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