primary tuberculosis of hand soft tissue

نویسندگان

mohd altaf mir department of burns, plastic and reconstructive surgery, jawaharlal nehru medical college, amu, aligarh, india

imran ahmad department of burns, plastic and reconstructive surgery, jawaharlal nehru medical college, amu, aligarh, india

yaseen mihd department of burns, plastic and reconstructive surgery, jawaharlal nehru medical college, amu, aligarh, india

چکیده

the musculoskeletal extrapulmonary tuberculosis is uncommon, the upper extremity tuberculosis is not common and the mycobacterial involvement of skin of hands and synovial sheath of tendons is rare. this prospective observational study was undertaken between august  2014 and december 2015 in a tertiary referral hospital. patients attending with suspected primary tuberculosis of soft tissue of the hand were included. anteroposterior and lateral radiographs of the hand, wrist and lung and mri were undertaken. a diagnosis of tuberculosis was made based on histology, and positive culture for mycobacterium. split thickness skin grafting was done after excision of tubercular cutaneous ulcers of hand. postoperatively patients were treated with home based anti-tubercular chemotherapy. lesions of synovial sheath of tendons were excised. splints or plaster slabs were used in all patients. there were 3 males and 2 females with a mean age of 44.75±6.61 years (19-48 years). based on clinical suspicion, plain radiographs and mri, there were 3 patients with involvement of synovial sheath of tendons and 2 patients with involvement of skin of hand. tuberculosis was confirmed histologically and mycobacterium bovis was confirmed microbiologically. the delayed diagnosis is often due to slow progression and numerous differential diagnoses, which often leads to complications. early radical excision of the infected tissues combined with anti- tubercular multidrug therapy gives good functional results and prevents recurrence.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Primary Tuberculosis of Hand Soft Tissue

The musculoskeletal extrapulmonary tuberculosis is uncommon, the upper extremity tuberculosis is not common and the mycobacterial involvement of skin of hands and synovial sheath of tendons is rare. This prospective observational study was undertaken between August  2014 and December 2015 in a tertiary referral hospital. Patients attending with suspected primary tuberculosis of soft tissue...

متن کامل

Primary Tuberculosis of Hand Soft Tissue

The musculoskeletal extrapulmonary tuberculosis is uncommon, the upper extremity tuberculosis is not common and the mycobacterial involvement of skin of hands and synovial sheath of tendons is rare. This prospective observational study was undertaken between August 2014 and December 2015 in a tertiary referral hospital. Patients attending with suspected primary tuberculosis of soft tissue of th...

متن کامل

Soft tissue mixed tumor of the hand

Mixed tumors are relatively common in the skin and salivary glands, but extremely rare in soft tissues, often resulting in diagnostic problems. The occurrence of these tumors in the hand is especially limited. In this article we report the clinical, radiological, and histological features of a mixed tumor of the hypothenar region of the right hand.

متن کامل

Pseudotumoral form of soft tissue tuberculosis of the hand: six cases

Musculoskeletal involvement is not uncommon in extra-pulmonary tuberculosis, but the localization in the soft tissue of the hand is very rare. Diagnosis is much more difficult because of the atypical location and non-specific symptoms. We report 6 cases of pseudotumoral form of soft tissue tuberculosis of the hand treated in our department during the past 12 years. The mean age of the patients ...

متن کامل

MRI of soft tissue masses of the hand and wrist.

The vast majority of soft tissue mass lesions of the wrist and hand are benign [1, 2]. In practice, the most common lesions encountered are ganglia. The most frequently seen solid masses include giant cell tumours of tendon sheath (GCTTS), lipomas, Dupuytrens contractures, nerve sheath tumours, glomus tumours, haemangioma/vascular malformations and synovial pathology. In general MRI is unable t...

متن کامل

Ultrasound of soft tissue masses of the hand

Most soft tissue mass lesions of the hand are benign. Ganglia are the commonest lesions encountered, followed by giant cell tumors of the tendon sheath. Malignant tumors are rare. Often a specific diagnosis can be achieved on imaging by considering the location and anatomical relations of the lesion within the hand or wrist, and assessing its morphology. Magnetic resonance imaging is an excelle...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
world journal of plastic surgery

جلد ۵، شماره ۳، صفحات ۳۱۳-۳۱۸

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023