Mycobacterium marinum and Carpal Tunnel Syndrome: Three Case Reports

Amy Yao; Tiffany Y Sia; Danny Fong

doi:10.1016/j.jhsa.2017.05.027

Mycobacterium marinum and Carpal Tunnel Syndrome: Three Case Reports

J Hand Surg Am. 2017 Dec;42(12):1037.e1-1037.e5. doi: 10.1016/j.jhsa.2017.05.027. Epub 2017 Jun 29.

Authors

Amy Yao¹, Tiffany Y Sia², Danny Fong³

Affiliations

¹ Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: [email protected].
² Columbia College of Physicians and Surgeons, New York, NY.
³ Division of Plastic Surgery, Mount Sinai Beth Israel Medical Center, New York, NY.

PMID: 28669531
DOI: 10.1016/j.jhsa.2017.05.027

Abstract

Infection with Mycobacterium marinum is often difficult to diagnose. Infection with M. marinum in the upper extremity may involve the tendon sheaths, producing clinical manifestations such as tenosynovitis and symptoms of carpal tunnel syndrome. We report 3 cases of M. marinum infection of the hand associated with carpal tunnel syndrome during an outbreak in New York City's Chinatown. A combination of carpal tunnel release, flexor tenosynovectomy, and appropriate antibiotics yielded complete resolution of symptoms in all cases.

Keywords: Carpal tunnel syndrome; Mycobacterium marinum.

Publication types

Case Reports

MeSH terms

Aged
Aged, 80 and over
Carpal Tunnel Syndrome / diagnosis
Carpal Tunnel Syndrome / etiology*
Carpal Tunnel Syndrome / therapy
Female
Humans
Middle Aged
Mycobacterium Infections, Nontuberculous / complications*
Mycobacterium Infections, Nontuberculous / diagnosis
Mycobacterium Infections, Nontuberculous / therapy
Mycobacterium marinum*
Tenosynovitis / diagnosis
Tenosynovitis / etiology*
Tenosynovitis / therapy