Lee K E
J Hand Surg Am. 1985 Mar;10(2):242-5. doi: 10.1016/s0363-5023(85)80113-1.
A 44-year-old man presented with typical symptoms, signs, and laboratory findings of carpal tunnel syndrome. Mycobacterium tuberculosis was cultured from the flexor tenosynovium excised at surgery. Tuberculosis should be considered in the differential diagnosis of carpal tunnel syndrome with unexplained chronic synovitis. The diagnosis may be missed unless a tissue specimen is analyzed specifically with acid-fast stain and culture. Therapy should include excision of involved synovium, early postoperative mobilization, and appropriate chemotherapy.
一名44岁男性患者出现了典型的腕管综合征症状、体征及实验室检查结果。手术切除的屈肌腱鞘中培养出结核分枝杆菌。对于伴有无法解释的慢性滑膜炎的腕管综合征，鉴别诊断时应考虑结核病。除非对组织标本进行抗酸染色和培养的专门分析，否则可能会漏诊。治疗应包括切除受累滑膜、术后早期活动及适当的化疗。
