腱鞘炎：一种罕见的结核病表现，手外科医生比传染病专家更了解。
Tenosynovitis: a rare presentation of tuberculosis better known by hand surgeons than infectious diseases specialists.
机构信息
Infectious Diseases Department, University Hospital, 42055, Saint-Etienne Cedex 2, France.
出版信息
Infection. 2015 Jun;43(3):261-6. doi: 10.1007/s15010-015-0741-6. Epub 2015 Feb 18.
PURPOSE
Clinical presentation of tuberculosis is pleomorphic. Some forms are rare and better known by surgeons than infectious disease specialists.
METHODS
We describe a rare case of isolated chronic tenosynovitis of the wrist due to Mycobacterium tuberculosis in a 66-year-old man and review similar cases in the literature.
RESULTS
On literature search, only 23 other cases of tuberculous tenosynovitis were retrieved. Our case is similar, with an insidious classical presentation. The diagnosis was suggested at the surgical presentation by the presence of rice body masses.
CONCLUSION
The diagnosis of tuberculous tenosynovitis should be considered in chronic tenosynovitis. Functional prognosis may be committed without adequate treatment.
目的
结核病的临床表现多种多样。有些形式较为罕见，外科医生比传染病专家更为了解。
方法
我们描述了一名 66 岁男性发生的罕见的、由结核分枝杆菌引起的孤立性慢性腕关节腱鞘炎，并复习了文献中的类似病例。
结果
在文献检索中，仅检索到 23 例其他结核性腱鞘炎病例。我们的病例与之相似，具有隐匿性的经典表现。在手术时，由于存在米状体，提示存在结核性腱鞘炎。
结论
在慢性腱鞘炎中应考虑结核性腱鞘炎的诊断。如果不进行适当治疗，可能会影响功能预后。
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