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Volume 2008, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

We present, as a rare manifestation of miliary TB, a case of tuberculous tenosynovitis, preceding by two weeks onset of tuberculous meningitis. A gradual progressive onset of a painless swelling of the right forearm was followed by high-grade fever, headache and neck pain. A suspected diagnosis of tuberculous meningitis based upon analysis of cerebrospinal fluid (CSF) was confirmed later by positive CSF polymerase chain reaction (PCR) for mycobacterium tuberculosis. Although the patient had a positive Mantoux test of 20 mm, there was no evidence of pulmonary TB and a negative CSF smear for acid fast bacilli but a positive smear from a fine needle aspirate of the swelling of the right forearm. The antituberculous therapy led to a successful outcome.

© 2008 Errayes, Yassin, Khan, licensee Bloomsbury Qatar Foundation Journals.
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/content/journals/10.5339/qmj.2008.1.23
2008-06-01
2024-04-19
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References

  1. Acrel O. Chirurgishhche Vorfalle aus dem Schwedischen. Gallingen. 1777; II::183.
     [Google Scholar]
  2. Cebrian FG, Burzaco M. Tuberculous tenosynivitis. Chest. 1988; 94::1119.
     [Google Scholar]
  3. Lee SH, Abramson SB. Infections of the musculoskeletal system by M. tuberculosis. In: Rom WNGar ay SM, eds. Tuberculosis. New York, NY: Little, Brown and Company 1996;:635–644.
     [Google Scholar]
  4. Hodgson AR, Smith TK. Tuberculosis of the wrist. Clin Orthop. 1972; 83::73.
     [Google Scholar]
  5. Al Soub H. Tuberculous Tenosynovitis: A rare manifestation of a common disease. IJCP. 1998; 52::56–58.
     [Google Scholar]
  6. Rajagopalan S, King ML. Tuberculosis and Aging; A global heath problem. Clin infec. Dis. 2001; 33::1034–1039.
     [Google Scholar]
  7. Serke M, Hauer B, Loddenkemper R. Chemotherapy of osteoarticular tuberculosis. Orthop%odie. 1999; 28:4:375–380.
     [Google Scholar]
  8. Woods GL, John A. Mycobacteria other than Mycobacterium tuberculosis: a review of microbiologic and clinical aspects. Rev Infect Dis. 1987; 9::275–294.
     [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/qmj.2008.1.23
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  • Article Type: Case Report
Keyword(s): Meningitis, Miliary, Tuberculous tenosynovitis and wrist

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