Abstract
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.
MeSH terms
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Anti-Bacterial Agents / therapeutic use
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Bursitis / diagnostic imaging*
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Bursitis / etiology
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Bursitis / microbiology
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Humans
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Magnetic Resonance Imaging / methods
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Male
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Mycobacterium Infections, Nontuberculous / diagnosis*
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Mycobacterium Infections, Nontuberculous / diagnostic imaging
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Mycobacterium Infections, Nontuberculous / drug therapy
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Mycobacterium marinum / genetics
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Mycobacterium marinum / isolation & purification
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Polymerase Chain Reaction
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Radiography
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Tenosynovitis / diagnostic imaging
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Tenosynovitis / microbiology*
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Tetracycline / therapeutic use
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Ultrasonography
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Wrist Joint / diagnostic imaging*
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Young Adult
Substances
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Anti-Bacterial Agents
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Tetracycline