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卡介苗(牛型分枝杆菌)所致腕管综合征(作者译)

[Carpal tunnel syndrome due to mycobacterium bovis BCG (author's transl)].

作者信息

Janier M, Gheorghiu M, Cohen P, Mazas F, Duroux P

出版信息

Sem Hop. 1982 Apr 22;58(16):977-9.

PMID:6283667
Abstract

A 45-year-old woman, previously in good health developed chronic tenosynovitis with carpal tunnel syndrome a few weeks after wounding herself with a Pasteur pipette containing BCG cultures. She had received two injections of triamcinolone in the anterior annular ligament of the right carpa. The patient recovered after twelve months of antituberculous therapy associating isoniazid (300 mg/day), ethambutol (800 g/day), and rifampicine (400 mg/day). This is the first report of BCG tenosynovitis of the hand. The hazards of steroid injections into the tendon sheaths are pointed out.

摘要

一名45岁女性,既往身体健康,在用装有卡介苗培养物的巴斯德滴管弄伤自己几周后,出现了慢性腱鞘炎伴腕管综合征。她在右手腕前环状韧带处接受了两次曲安奈德注射。患者在接受了为期十二个月的抗结核治疗(异烟肼300毫克/天、乙胺丁醇800毫克/天、利福平400毫克/天联合使用)后康复。这是手部卡介苗腱鞘炎的首例报告。文中指出了向腱鞘内注射类固醇的风险。

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