TUBERCULOUS TENOSYNOVITIS PRESENTING ITSELF AS CARPAL TUNNEL SYNDROME AND WRIST GANGLION

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

Selma Sönmez Ergün , Reşit Kayan Azize Başar Gürsoy Zühal Gücin

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.

Keywords

Tuberculous tenosynovitis, carpal tunnel syndrome, wrist ganglion, treatment.

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

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.

Keywords

Tüberküloz tenosinovit, karpal tunnel sendromu, bilek ganglionu, tedavi.

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