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'Sausage finger' with 'Rice bodies'
Guru Prasad Reddy1, Divya Narain Upadhyaya1, Riddhi Jaiswal2
1Department of Plastic and Reconstructive Surgery, King George Medical University, Lucknow, Uttar Pradesh, India.
Summary
Tuberculosis (TB) can present unusually in the musculoskeletal system. This case highlights tuberculous tenosynovitis mimicking other conditions, emphasizing the need for careful diagnosis.
Area of Science:
- Orthopedics
- Infectious Diseases
- Pathology
Background:
- Tuberculosis (TB) is prevalent globally, affecting various organ systems.
- Musculoskeletal TB, while known, has uncommon presentations like tenosynovitis.
- Diagnostic challenges arise as TB can mimic numerous other pathologies.
Observation:
- A 30-year-old male presented with swelling of his right index finger.
- Initial clinical suspicion pointed towards a giant cell tumor of the flexor tendon sheath.
- Histological examination was crucial for accurate diagnosis.
Findings:
- The histological examination confirmed tuberculous tenosynovitis.
- This rare presentation of musculoskeletal TB posed a diagnostic dilemma.
- The case underscores TB's ability to mimic common hand pathologies.
Implications:
- Accurate and timely diagnosis of tuberculous tenosynovitis is essential for effective treatment.
- Awareness of uncommon TB presentations is vital for clinicians, especially in endemic areas.
- Histopathological analysis remains a cornerstone in diagnosing challenging musculoskeletal conditions.