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An extensor tenosynovitis complicated with extensor tendon rupture revealing a hand tuberculosis
Mohamed Ali Sbai1, Walid Bouaicha2, Feten Sbei3
1Department of Aesthetic and Burns, M.T. Maamouri Hospital, Nabeul, Tunisia.
International Journal of Mycobacteriology
|June 20, 2023
Summary
Tuberculous hand tenosynovitis, a rare form of tuberculosis, typically affects flexor tendons. This case highlights an exceptional extensor tendon involvement leading to delayed diagnosis and tendon rupture.
Area of Science:
- Orthopedics
- Infectious Diseases
- Rheumatology
Background:
- Tuberculosis (TB) rarely affects the hand, with flexor tenosynovitis being the common presentation.
- Extensor tendon tenosynovitis due to TB is exceptionally rare, often presenting with subtle, chronic symptoms.
Observation:
- A case of tuberculous tenosynovitis affecting the extensor tendons of the left hand is presented.
- The condition progressed to involve rupture of the extensor tendons in the 4th and 5th digits.
- Diagnosis was delayed due to the chronic and non-specific nature of the symptoms.
Findings:
- Surgical intervention combined with antituberculous chemotherapy successfully treated the condition.
- Early diagnosis and treatment are crucial to prevent severe complications like tendon rupture.
Implications:
- This case underscores the importance of considering rare TB presentations in hand conditions.
- Highlights the need for high clinical suspicion for tuberculous tenosynovitis, even with extensor tendon involvement.
- Emphasizes the efficacy of combined surgical and medical treatment for tuberculous hand tenosynovitis.
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