• Florian A Probst, Michael Koch, Jörn Lohmeyer, Hans-Günther Machens, and Jan-Thorsten Schantz.
• Department of Oral and Maxillofacial Surgery, Ludwig-Maximilians-Universität München, Lindwurm Str. 2a, 80337, Munich, Germany.
• Arch Orthop Trauma Surg. 2012 Aug 1;132(8):1141-5.

AbstractTuberculous tenosynovitis is a rare manifestation of extrapulmonary tuberculosis (Tb), especially if solely the dorsal hand compartment is affected. In this report, we present the medical history of an immuno-competent 32-year-old man presented with a painful swelling of the right dorsal wrist. Initial inflammation onset had occurred 6 months before he consulted our service, resulting in consultation of several physicians and extensive diagnostic procedures without gaining a specific diagnosis. Finally, after extensive diagnostic tests, a tenosynovectomy was performed and tuberculosis-induced extensor tenosynovitis was detected. The diagnosis was established by positive histology, repeated specific PCR and T-SPOT.TB. Tuberculous tenosynovitis can easily be overlooked as a cause of chronic tenosynovitis particularly in immunocompetent young people lacking any risk factors.

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