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Updated: Jul 19, 2026

The MODS method for diagnosis of tuberculosis and multidrug resistant tuberculosis
Published on: August 11, 2008
Flexor Tenosynovitis Caused by Mycobacterium arupense: A Case Report and Review of the Literature
Yuji Yokozeki1, Koji Sukegawa1, Kenji Onuma1
1Department of Orthopaedic Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Case:
A 64-year-old man presented with swelling of his right hand and forearm. This swelling had been recurring for 5 years. He liked sea fishing and frequently injured his fingers with fishhooks. He had difficulty bending his right little and ring fingers for 2 years and experienced finger numbness for several months. We diagnosed nontuberculous mycobacterial flexor tenosynovitis after Mycobacterium arupense was detected in a tissue sample. After surgery and 2 years of multidrug therapy, he has been recurrence-free for 3 years.
Conclusion:
Nontuberculous mycobacteriosis should be considered in chronic tenosynovitis cases.
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