Le Meur Alexandre, Arvieux Cédric, Guggenbuhl Pascal, Cormier Michel, Jolivet-Gougeon Anne
Microbiology Laboratory UPRES-EA 1254, University Hospital, Rennes, France.
J Clin Microbiol. 2005 Feb;43(2):988-90. doi: 10.1128/JCM.43.2.988-990.2005.
Tubercular tenosynovitis is now rare, which can delay diagnosis of this disease. We report a case of tenosynovitis of the wrist in a heart transplant patient caused by an isoniazid- and streptomycin-resistant Mycobacterium tuberculosis strain. Despite immunosuppression therapy, which can lead to a smoldering evolution, molecular biology analysis of biopsies allowed a rapid diagnosis.
结核性腱鞘炎目前较为罕见,这可能会延误该病的诊断。我们报告一例心脏移植患者发生的腕部腱鞘炎,由对异烟肼和链霉素耐药的结核分枝杆菌菌株引起。尽管免疫抑制治疗可能导致病情隐匿进展,但对活检组织进行分子生物学分析有助于快速诊断。