Rust P A, Bennett T
Victorian Hand Surgery Associates, St. Vincent's Hospital, Fitzroy, Australia.
Hand Surg. 2009;14(2-3):131-4. doi: 10.1142/S0218810409004360.
Infective tenosynovitis is an uncommon cause of a common condition namely carpal tunnel syndrome. Following an extensive review of the literature, we report what we understand to be the first published case of Mycobacterium kansasii (M. kansasii) causing tenosynovitis of flexor tendons resulting in carpal tunnel syndrome in Australia. Our case highlights the need for a high level of suspension, histology and appropriate culture with specific microbiological tests for atypical mycobacteria where tenosynovitis is present at carpal tunnel surgery, even in patients who do not appear to have risk factors.
感染性腱鞘炎是常见病症即腕管综合征的一种罕见病因。在对文献进行广泛回顾之后，我们报告了我们认为是澳大利亚首例由堪萨斯分枝杆菌（M. kansasii）引起屈肌腱腱鞘炎并导致腕管综合征的已发表病例。我们的病例强调，在腕管手术中出现腱鞘炎时，即使患者似乎没有危险因素，也需要高度怀疑，进行组织学检查以及针对非典型分枝杆菌进行适当培养和特定微生物检测。
