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Annals of plastic surgery · Mar 1999
Case ReportsFlexor tenosynovitis in the hand caused by Mycobacterium terrae.
- J Fodero, K C Chung, and V M Ognenovski.
- Department of Surgery, The University of Michigan Medical Center, Ann Arbor 48109-0340, USA.
- Ann Plast Surg. 1999 Mar 1; 42 (3): 330-2.
AbstractThe authors describe an uncommon case of flexor tenosynovitis caused by Mycobacterium terrae, an atypical mycobacterium generally considered nonpathogenic in humans. A prolonged delay in diagnosis and various ineffective therapies led to synovial biopsy and culture. After confirming the diagnosis of M. terrae, appropriate antimycobacterial chemotherapy resolved the synovitis. For chronic tenosynovitis without a clear etiology, limited synovectomy and culture are essential in establishing a diagnosis and in initiating treatment for this atypical mycobacterial infection.
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