Tenosynovitis of the hand caused by Mycobacterium terrae

Flexor tendon synovitis caused by Mycobacterium terrae resulted in considerable permanent functional impairment of the hand in six patients. Initial symptoms were subtle and uncharacteristic. Cortisone injections aggravated the condition. Surgical treatment including synovectomy was combined with an...

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Bibliographic Details
Published in:European journal of clinical microbiology & infectious diseases 1989-08, Vol.8 (8), p.722-724
Main Authors: Petrini, B, Svartengren, G, Hoffner, S E, Unge, G, Widström, O
Format: Article
Language:English
Subjects:
Adult
Aged
Biopsy
Female
Hand - microbiology
Hand - pathology
Humans
Middle Aged
Mycobacterium - isolation & purification
Mycobacterium Infections - etiology
Mycobacterium Infections - pathology
Mycobacterium Infections - therapy
Pregnancy
Tenosynovitis - microbiology
Tenosynovitis - pathology
Tenosynovitis - therapy
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Summary:Flexor tendon synovitis caused by Mycobacterium terrae resulted in considerable permanent functional impairment of the hand in six patients. Initial symptoms were subtle and uncharacteristic. Cortisone injections aggravated the condition. Surgical treatment including synovectomy was combined with antimycobacterial chemotherapy. Early diagnosis obtained by culture of synovial biopsy material to detect mycobacteria may result in an improved outcome in chronic synovitis.
ISSN:0934-9723
DOI:10.1007/BF01963759