Isolated extrapulmonary tuberculosis with flexor tenosynovitis and compression of the median and ulnar nerves: a case report

2021 ◽  
pp. 175319342110328
Author(s):  
Byron E. Chalidis ◽  
Dimitrios Kitridis ◽  
Panagiotis K. Givissis
Keyword(s):  
Case Report ◽  
Extrapulmonary Tuberculosis ◽  
Flexor Tenosynovitis

scholarly journals Tuberculous Pachymeningitis Presenting as a Diffused Dural Thickening in a Patient with Chronic Headache and Recurrent Neurological Abnormalities for More than a Decade: A Case Report and a Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
C. L. Fonseka ◽  
T. E. Kanakkahewa ◽  
S. D. A. L. Singhapura ◽  
J. S. Hewavithana ◽  
L. P. Kolambage ◽  
...  
Keyword(s):  
Case Report ◽  
Chronic Headache ◽  
Facial Nerve Palsy ◽  
Extrapulmonary Tuberculosis ◽  
Granulomatous Inflammation ◽  
Mantoux Test ◽  
Resonance Imaging ◽  
Neurological Signs ◽  
Neurological Abnormalities ◽  
Contrast Enhanced

Background. Tuberculous pachymeningitis is a rare form of extrapulmonary tuberculosis usually suspected from the detection of thickening of the dura in contrast-enhanced magnetic resonance imaging. Progressive nature of the disease can lead to chronic headache with focal neurological signs due to compression from the thickened dura. Case Report. We report a 40-year-old female who presented with chronic headache over a decade associated with recurrent neurological abnormalities including optic neuritis, hemisensory loss, migraine, facial nerve palsy, and recurrent vertigo. Although there was an initial perceived response to steroids, the patient had a subsequent progressive course. On investigations, she was found to have a diffused dural thickening on contrast MRI with a strongly positive Mantoux test with caseating necrotizing granulomatous inflammation on dural histology. With initiation of antituberculous medication with steroids, the patient markedly improved, and the medication for tuberculosis was continued for a year with good response. Conclusion. Primary tuberculous pachymeningitis should be suspected in a patient complaining of prolonged headache with focal neurological signs when MRI evidence of dural thickening is detected, and another focus of tuberculosis was not found. Prompt suspicion with image-guided dural biopsy for histology would help to confirm the diagnosis.

scholarly journals Peritoneal Tuberculosis Presenting as Chronic Ascites With Scrofula: A Case Report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Galina Bogoslovskaya ◽  
Jose Zaldivar
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Extrapulmonary Tuberculosis ◽  
Young Female ◽  
Ca 125 ◽  
Test Results ◽  
Peritoneal Tuberculosis ◽  
Clinical Presentations ◽  
High Index Of Suspicion ◽  
Diagnostic Delays

Peritoneal tuberculosis (PTB) is a common type of extrapulmonary tuberculosis; however, due to variety of clinical presentations, diagnostic challenges do occur. The nonspecific features of this disease can lead to diagnostic delays and the development of complications. In addition, PTB can mimic a malignancy, especially in women who present with ascites and elevated cancer antigen (CA) 125 levels. A high index of suspicion is an important factor in an early diagnosis. Moreover, an early diagnosis and the initiation of antituberculous therapy are essential for preventing morbidity and mortality. Fortunately, most of these patients respond very well to standard antituberculous therapy.Here, we have reported the case of a young female patient who presented with chronic ascites, mild abdominal tenderness, and later, scrofula. Ultimately, she was diagnosed with PTB based on her test results. We expect that this case report will contribute to the existing literature on this subject.

Case of flexor tenosynovitis caused by Mycobacterium arupense

2021 ◽  
Vol 14 (10) ◽  
pp. e245130
Author(s):  
Kushali Patel ◽  
John Flaherty
Keyword(s):  
Drinking Water ◽  
Case Report ◽  
Water Systems ◽  
The Other ◽  
Empiric Antibiotic Therapy ◽  
Joint Infections ◽  
Empiric Antibiotic ◽  
Environmental Pathogens ◽  
Fish Tanks ◽  
Flexor Tenosynovitis

Mycobacterium arupense is a member of the Mycobacterium terrae complex (MTC) that is implicated in bone and joint infections, among others. This group of environmental pathogens can be found in soil, reclaimed and drinking water systems, rodents, fish tanks and bioaerosols in duck houses. Interestingly, while M. arupense is genotypically closely related to the other agents in the MTC, antibiotic susceptibility of these mycobacteria can vary widely and empiric antibiotic therapy is controversial. Our case report contributes to the very limited literature on M. arupense tenosynovitis—as only six cases have been reported since 2008—and sheds light on different courses of treatment. While previous cases have been successfully treated, a streamlined course of therapy for M. arupense tenosynovitis is still needed.

scholarly journals Acute Calcific Periarthritis of the Hand: A Case Report in an Active Duty Soldier

2019 ◽  
Vol 184 (9-10) ◽  
pp. e587-e589 ◽  
Author(s):  
Jeremy W Reifsnyder
Keyword(s):  
Case Report ◽  
Diagnostic Testing ◽  
Active Duty ◽  
Correct Identification ◽  
Surgical Interventions ◽  
Clinical Exam ◽  
History Of ◽  
Calcific Deposits ◽  
Calcific Periarthritis ◽  
Flexor Tenosynovitis

Abstract Acute calcific periarthritis of the hand is a condition that can easily be misdiagnosed resulting in unnecessary diagnostic studies and treatment. The condition is thought to be benign with a self-resolving course. The author presents a case of an active duty 29-year-old male who presented to a military emergency department with severe atraumatic hand pain developing overnight with initial concern for flexor tenosynovitis. Following orthopedic consultation, he was determined to have acute calcific periarthritis of the small finger (metacarpophalangeal) MCP joint with resolution over approximately 3 weeks without recurrence over a 5-month period. This case report reviews the natural history of acute calcific deposits of the hand and its correct identification through clinical exam and plain radiographs to avoid unnecessary diagnostic testing and invasive surgical interventions.

scholarly journals Extrapulmonary tuberculosis: mimicking metastases in a patient with melanoma in a high TB-burden country; case report

2020 ◽  
Vol 15 (11) ◽  
pp. 2471-2476
Author(s):  
Vanessa Salinas-Álvarez ◽  
Carolinie Gómez-Torres ◽  
Julián Garzón-Cubides ◽  
Luis Carlos Gómez-Mier ◽  
Camilo Soto-Montoya
Keyword(s):  
Case Report ◽  
Extrapulmonary Tuberculosis

scholarly journals Fishing-Injury-Related Flexor Tenosynovitis of the Hand: A Case Report and Review

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Danny A. Young-Afat ◽  
Deniz Dayicioglu ◽  
John C. Oeltjen ◽  
Audene P. Garrison
Keyword(s):  
Infectious Disease ◽  
Case Report ◽  
Empiric Antibiotic Therapy ◽  
Illustrative Case ◽  
Soft Tissue Infections ◽  
Severe Damage ◽  
Appropriate Treatment ◽  
Empiric Antibiotic ◽  
Infectious Disease Specialists ◽  
Flexor Tenosynovitis

Hand infections occurring after fishing and other marine-related activities may involve uncommon bacteria that are not susceptible to the conventional or empiric antibiotic therapy used to treat soft tissue infections. Therefore appropriate treatment is often delayed and could lead to severe hand damage. An illustrative case of fishing-related injury leading to complicated tenosynovitis and horseshoe abscess caused byMycobacterium marinumand its treatment course is outlined. Laceration of the skin during boating is fairly common. Because of the rarity of some of the bacteria, referrals to the appropriate specialist including hand surgeons and infectious disease specialists should occur in early stages.M. marinuminfections should always be considered in injuries related to seawater and fishing as this may lead to early appropriate treatment and prevent severe damage.

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