Mycobacterium tuberculosis‐induced multiple tenosynovial masses with rice bodies: A case report
Key clinical message Tenosynovitis with rice bodies is a rare presentation, diagnosable by MRI. Surgical excision is the preferred treatment for tendon sheath masses containing rice bodies. The etiology was Mycobacterium tuberculosis in our case, highlighting the need to consider extrapulmonary TB i...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-12-01
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| Series: | Clinical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ccr3.8228 |
| _version_ | 1797372063872188416 |
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| author | Seyed Arman Moein Reza Fereidooni Reza Niakan Aliasghar Kousari |
| author_facet | Seyed Arman Moein Reza Fereidooni Reza Niakan Aliasghar Kousari |
| author_sort | Seyed Arman Moein |
| collection | DOAJ |
| description | Key clinical message Tenosynovitis with rice bodies is a rare presentation, diagnosable by MRI. Surgical excision is the preferred treatment for tendon sheath masses containing rice bodies. The etiology was Mycobacterium tuberculosis in our case, highlighting the need to consider extrapulmonary TB in atypical presentations, ensuring effective treatment. Abstract Rice body tenosynovitis is a rare clinical phenomenon with various etiologies. Inflammatory diseases such as rheumatoid arthritis and tuberculosis have been shown to be associated with this condition. Herein we report a 46‐year‐old male who presented with multiple masses of the dorsal and volar aspects of the left wrist. The masses did not cause significant pain or limitation of motion. Magnetic resonance imaging showed the presence of numerous hypointense bodies in the masses. During the surgical procedure, separate cysts originating from the synovitis of both the extensor and flexor compartments were identified along with white rice bodies within them. Masses were excised and Xpert MTB/RIF assay on the rice bodies was conclusive of M. tuberculosis (TB). The patient was discharged on anti‐TB medications with no complication or recurrence after 1 year of follow‐up. |
| first_indexed | 2024-03-08T18:31:01Z |
| format | Article |
| id | doaj.art-b96c252fbbc54ea9b1fa468120653f27 |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-03-08T18:31:01Z |
| publishDate | 2023-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-b96c252fbbc54ea9b1fa468120653f272023-12-30T04:35:09ZengWileyClinical Case Reports2050-09042023-12-011112n/an/a10.1002/ccr3.8228Mycobacterium tuberculosis‐induced multiple tenosynovial masses with rice bodies: A case reportSeyed Arman Moein0Reza Fereidooni1Reza Niakan2Aliasghar Kousari3Bone and Joint Diseases Research Center Shiraz University of Medical Sciences Shiraz IranHealth Policy Research Center, Institute of Health Shiraz University of Medical Sciences Shiraz IranBone and Joint Diseases Research Center Shiraz University of Medical Sciences Shiraz IranBone and Joint Diseases Research Center Shiraz University of Medical Sciences Shiraz IranKey clinical message Tenosynovitis with rice bodies is a rare presentation, diagnosable by MRI. Surgical excision is the preferred treatment for tendon sheath masses containing rice bodies. The etiology was Mycobacterium tuberculosis in our case, highlighting the need to consider extrapulmonary TB in atypical presentations, ensuring effective treatment. Abstract Rice body tenosynovitis is a rare clinical phenomenon with various etiologies. Inflammatory diseases such as rheumatoid arthritis and tuberculosis have been shown to be associated with this condition. Herein we report a 46‐year‐old male who presented with multiple masses of the dorsal and volar aspects of the left wrist. The masses did not cause significant pain or limitation of motion. Magnetic resonance imaging showed the presence of numerous hypointense bodies in the masses. During the surgical procedure, separate cysts originating from the synovitis of both the extensor and flexor compartments were identified along with white rice bodies within them. Masses were excised and Xpert MTB/RIF assay on the rice bodies was conclusive of M. tuberculosis (TB). The patient was discharged on anti‐TB medications with no complication or recurrence after 1 year of follow‐up.https://doi.org/10.1002/ccr3.8228extrapulmonary tuberculosisMycobacterium tuberculosisrice bodytenosynovitisXpert MTB/RIF assay |
| spellingShingle | Seyed Arman Moein Reza Fereidooni Reza Niakan Aliasghar Kousari Mycobacterium tuberculosis‐induced multiple tenosynovial masses with rice bodies: A case report Clinical Case Reports extrapulmonary tuberculosis Mycobacterium tuberculosis rice body tenosynovitis Xpert MTB/RIF assay |
| title | Mycobacterium tuberculosis‐induced multiple tenosynovial masses with rice bodies: A case report |
| title_full | Mycobacterium tuberculosis‐induced multiple tenosynovial masses with rice bodies: A case report |
| title_fullStr | Mycobacterium tuberculosis‐induced multiple tenosynovial masses with rice bodies: A case report |
| title_full_unstemmed | Mycobacterium tuberculosis‐induced multiple tenosynovial masses with rice bodies: A case report |
| title_short | Mycobacterium tuberculosis‐induced multiple tenosynovial masses with rice bodies: A case report |
| title_sort | mycobacterium tuberculosis induced multiple tenosynovial masses with rice bodies a case report |
| topic | extrapulmonary tuberculosis Mycobacterium tuberculosis rice body tenosynovitis Xpert MTB/RIF assay |
| url | https://doi.org/10.1002/ccr3.8228 |
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