Jing S S, Teare L, Iwuagwu F
St Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Court Road, CM1 7ET, Chelmsford, Essex, UK.
Hand Surg. 2014;19(2):249-51. doi: 10.1142/S0218810414720204.
We report an extreme case of Mycobacterium kanasii flexor tenosynovitis with flexor tendon rupture in a healthy 65-year-old left-hand dominant Caucasian housewife. This case highlights the diagnostic conundrum of atypical mycobacteria infections due to their insidious presentation, the need for a high index of suspicion to prevent worsening or delaying the diagnosis from inappropriate steroid use and that these infections can occur in otherwise healthy individuals.
我们报告了一例极端的堪萨斯分枝杆菌屈指肌腱腱鞘炎病例,该病例发生在一名65岁、惯用左手的健康白人家庭主妇身上,伴有屈肌腱断裂。该病例凸显了非典型分枝杆菌感染的诊断难题,因其表现隐匿,需要高度怀疑以防止因不恰当使用类固醇而导致病情恶化或诊断延误,并且这些感染可发生在其他方面健康的个体中。