Volume 4

Number 2, July 2022

A Case Report On Tuberculous Tenosynovitis

DOI: https://doi.org/10.47648/zhswmcj.2022.v0402.10

Shah MR1 , Kaur G2 , Worthy TJ3 , Alam MA4

Abstract

Tuberculosis (TB) can affect any organs/systems of the human body and have variable presentation in each system. Worldwide, the incidence of extra-pulmonary involvement of tuberculosis occurs in approximately 17-52% of all cases reported. Bone and Joint tuberculosis results from haematogenous spread from a pulmonary or other visceral or lymph node focus TB tenosynovitis of the wrist and hand is an unusual condition.

Tuberculous tenosynovitis represents only 5% of bone and joint TB and usually involves the wrist. The major dilemma in diagnosing these uncommon presentations is the presence of the non-specific clinical signs which can be misleading as they mimic a number of other clinical conditions such as ganglion, De Quervain's disease, carpal tunnel syndrome, and granulomatous gout. Its chronic and insidious evolution, long supported by patients, is one explanation for delays in consultation. The treatment is medicosurgical including antituberculous, chemotherapy, and debridement. Debridement also helps in diagnosis and therapy.

Keywords:


  1. Assistant Professor, Department of Surgery

    Z H Sikder Women’s Medical College, Dhaka

  2. Internee

    Z H Sikder Women’s Medical College, Dhaka

  3. Medical Officer, Department of Surgery

    Z H Sikder Women’s Medical College, Dhaka

  4. Registrar, Department of Surgery

    Z H Sikder Women’s Medical College, Dhaka

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Volume 4, Number 2, July 2022
Page: 47-49