Recurrence of tuberculous tenosynovitis in wrist tendon of a butcher: rare case report-Reference-Cited by-同舟云学术

Recurrence of tuberculous tenosynovitis in wrist tendon of a butcher: rare case report

Published:2023-08 Issue:8 Volume:2023 Page:
ISSN:2042-8812
Container-title:Journal of Surgical Case Reports
language:en
Short-container-title:

Author:

Abdulrahman Binar Burhan¹,Aziz Jeza Muhamad Abdul²³,Salih Mohammed Kak Bra²,Rashid Muhammad Jabar²,Ahmed Mohammed Latif⁴,Awl Ramyar Hersh⁴,Rauf Shanga Baram⁵,Ali Harem Habil Hama⁶,Huy Nguyen Tien⁷,Rasheed Mariwan Kadir²⁸

Affiliation:

1. Orthopedic Department, Baxshin Hospital , Sulaymaniyah, Kurdistan Region , Iraq

2. Baxshin Research Center, Baxshin Hospital , Sulaymaniyah, Kurdistan Region , Iraq

3. Biomedical Science Department, Komar University of Science and Technology , Sulaymaniyah, Kurdistan Region , Iraq

4. College of Medicine, University of Sulaimani , Sulaymaniyah, Kurdistan Region , Iraq

5. Medical Laboratory Department, College of Health and Medical Technology, Sulaimani Polytechnic University , Sulaymaniyah, Kurdistan Region , Iraq

6. College of Veterinary Medicine, University of Sulaimani , Sulaymaniyah, Kurdistan Region , Iraq

7. School of Tropical Medicine and Global Health, Nagasaki University , 1-12-4 Sakamoto, Nagasaki, 852-8523 , Japan

8. Medical Laboratory Science, College of Health Sciences, University of Human Development , Sulaimaniyah, Kurdistan Region , Iraq

Abstract

Abstract Diagnosing of tuberculous arthritis can be challenging due to its insidious onset and non-specific clinical presentation. A high index of suspicion is required for early diagnosis. A 54-year-old butcher was admitted to an orthopedic clinic with complaints of pain, paresthesia and an enlarging mass in the left wrist, which limited finger flexion. Initially the patient was diagnosed with carpal tunnel syndrome (CTS); the patient had no history of tuberculosis (TB), but had direct contact with animals. On clinical examination, a small mass was found in the distal volar region of the forearm and no lymphadenopathy was observed. Despite the diagnosis the patient refused to receive TB treatment. After a period of 4 months, the patient once again exhibited symptoms of CTS. This case highlights the importance of considering TB as a potential etiology for persistent symptoms of carpal tunnel surgery. Early diagnosis and prompt initiation of TB treatment can result in favorable outcomes and can prevent future recurrence.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Link

https://academic.oup.com/jscr/article-pdf/2023/8/rjad353/51054164/rjad353.pdf

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