Atypical mycobacterial tenosynovitis and bursitis of the wrist

Atypical mycobacterial tenosynovitis of the wrist can easily be misdiagnosed as synovial chondromatosis. Both sonography and magnetic resonance imaging plays an important role in depicting "rice bodies" within the distended tendon sheaths and bursae of atypical mycobacterial infection. An...

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Bibliographic Details
Published in:Diagnostic and interventional radiology (Ankara, Turkey) Turkey), 2009-12, Vol.15 (4), p.266-268
Main Authors: Sanal, Hatice Tuba, Zor, Fatih, Kocaoğlu, Murat, Bulakbaşi, Nail
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - therapeutic use
Bursitis - diagnostic imaging
Bursitis - etiology
Bursitis - microbiology
Humans
Magnetic Resonance Imaging - methods
Male
Mycobacterium Infections, Nontuberculous - diagnosis
Mycobacterium Infections, Nontuberculous - diagnostic imaging
Mycobacterium Infections, Nontuberculous - drug therapy
Mycobacterium marinum - genetics
Mycobacterium marinum - isolation & purification
Polymerase Chain Reaction
Radiography
Tenosynovitis - diagnostic imaging
Tenosynovitis - microbiology
Tetracycline - therapeutic use
Ultrasonography
Wrist Joint - diagnostic imaging
Young Adult
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Summary:Atypical mycobacterial tenosynovitis of the wrist can easily be misdiagnosed as synovial chondromatosis. Both sonography and magnetic resonance imaging plays an important role in depicting "rice bodies" within the distended tendon sheaths and bursae of atypical mycobacterial infection. An endemic place for Mycobacterium species and the occupation of the patient should raise the suspicion for the disease. Polymerase chain reaction of the distended tendon fluid is a sensitive, specific and rapid method in identification of the mycobacteria.
ISSN:1305-3825
1305-3612
DOI:10.4261/1305-3825.DIR.1506-07.1