Acta chirurgiae orthopaedicae
et traumatologiae Čechoslovaca

Acta Chir Orthop Traumatol Cech. 2021; 88(3):237-239 | DOI: 10.55095/achot2021/038

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

M. Ç. KORKMAZ^1,*, S. TOLU², S. ŞİMŞEK³

¹ Marmara University School of Medicine, Department of Physical Medicine and Rehabilitation, Rheumatology Division, Istanbul, Turkey

² Medipol University Department of Physical Medicine and Rehabilitation, Istanbul, Turkey

³ Bingöl State Hospital, Department of Infectious Diseases and Clinical Microbiology, Bingöl, Turkey

Tuberculosis (TB) is still a worldwide problem. We present a case of flexor tenosynovitis due to tuberculosis in the hand and wrist. A 42-year-old man presented to the outpatient clinic with a 2-year history of a slowly growing mass over the volar aspect of the left wrist. His MRI showed multiple rice bodies in the wrist and hand. An open biopsy was performed. Pathology specimens showed granulomatous lesions with central necrosis. The purified protein derivative (PPD) test was positive. In this case, granulomatous lesions with central necrosis, rice bodies, and positive PPD test confirmed the diagnosis of TB in the wrist and hand. There was no other concurrent evidence of TB elsewhere. Antituberculosis chemotherapy was commenced. Tuberculous tenosynovitis of the wrist and hand is very rare. The tuberculous tenosynovitis should be kept in mind as an infectious agent when patients are presenting with atypical clinical.

Keywords: tuberculosis, rice bodies, flexor tenosynovitis, wrist, hand

Published: June 15, 2021  Show citation