Unusual presentation of carpal tunnel syndrome due to Mycobacterium marinum infection of hand
We report a case of a fisherman presenting with a rare and unusual carpal tunnel syndrome due to infection of the hand and wrist. The infection resulted in severe pain, paresthesia and restriction of movement in the hand.Flexor tenosynovectomy, followed by histological and microbiological studies, i...
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| Veröffentlicht in: | BMJ case reports 2022-12, Vol.15 (12), p.e251692 |
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| creator | Pai G, Mithun Bhat, Anil K M Acharya, Ashwath Reddy, Shreya Pulli |
| description | We report a case of a fisherman presenting with a rare and unusual carpal tunnel syndrome due to
infection of the hand and wrist. The infection resulted in severe pain, paresthesia and restriction of movement in the hand.Flexor tenosynovectomy, followed by histological and microbiological studies, indicated the presence of atypical mycobacteria. The patient was started on a combination antimicrobial therapy for 6 months. The patient regained full range of motion and returned to perform daily activities with ease.Diagnosis of
infection of the hand is challenging as the presentation mimics other conditions and may have nonspecific histological findings. This atypical mycobacterium may also show resistance to commonly used antitubercular drugs. Hand surgeons should maintain a high index of suspicion of
and adopt a multiteam approach to prevent delay in diagnosis for successful treatment. |
| doi_str_mv | 10.1136/bcr-2022-251692 |
| format | Article |
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infection of the hand and wrist. The infection resulted in severe pain, paresthesia and restriction of movement in the hand.Flexor tenosynovectomy, followed by histological and microbiological studies, indicated the presence of atypical mycobacteria. The patient was started on a combination antimicrobial therapy for 6 months. The patient regained full range of motion and returned to perform daily activities with ease.Diagnosis of
infection of the hand is challenging as the presentation mimics other conditions and may have nonspecific histological findings. This atypical mycobacterium may also show resistance to commonly used antitubercular drugs. Hand surgeons should maintain a high index of suspicion of
and adopt a multiteam approach to prevent delay in diagnosis for successful treatment.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2022-251692</identifier><identifier>PMID: 36535734</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Carpal tunnel syndrome ; Carpal Tunnel Syndrome - surgery ; Case reports ; Case Reports: Unusual association of diseases/symptoms ; Disease transmission ; Granulomas ; Hand - pathology ; Humans ; Infections ; Laboratories ; Mycobacterium Infections, Nontuberculous - drug therapy ; Nontuberculous Mycobacteria ; Pain ; Pathogens ; Patients ; Range of motion ; Tendons ; Tuberculosis ; Wrist - pathology</subject><ispartof>BMJ case reports, 2022-12, Vol.15 (12), p.e251692</ispartof><rights>BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2022 BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ. 2022</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c334t-6dde6f60888c8508b498e4cef9571821e10caa59fd9a128f23a7fc09437d3b453</cites><orcidid>0000-0003-0222-5484</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36535734$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pai G, Mithun</creatorcontrib><creatorcontrib>Bhat, Anil K</creatorcontrib><creatorcontrib>M Acharya, Ashwath</creatorcontrib><creatorcontrib>Reddy, Shreya Pulli</creatorcontrib><title>Unusual presentation of carpal tunnel syndrome due to Mycobacterium marinum infection of hand</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>We report a case of a fisherman presenting with a rare and unusual carpal tunnel syndrome due to
infection of the hand and wrist. The infection resulted in severe pain, paresthesia and restriction of movement in the hand.Flexor tenosynovectomy, followed by histological and microbiological studies, indicated the presence of atypical mycobacteria. The patient was started on a combination antimicrobial therapy for 6 months. The patient regained full range of motion and returned to perform daily activities with ease.Diagnosis of
infection of the hand is challenging as the presentation mimics other conditions and may have nonspecific histological findings. This atypical mycobacterium may also show resistance to commonly used antitubercular drugs. Hand surgeons should maintain a high index of suspicion of
and adopt a multiteam approach to prevent delay in diagnosis for successful treatment.</description><subject>Carpal tunnel syndrome</subject><subject>Carpal Tunnel Syndrome - surgery</subject><subject>Case reports</subject><subject>Case Reports: Unusual association of diseases/symptoms</subject><subject>Disease transmission</subject><subject>Granulomas</subject><subject>Hand - pathology</subject><subject>Humans</subject><subject>Infections</subject><subject>Laboratories</subject><subject>Mycobacterium Infections, Nontuberculous - drug therapy</subject><subject>Nontuberculous Mycobacteria</subject><subject>Pain</subject><subject>Pathogens</subject><subject>Patients</subject><subject>Range of motion</subject><subject>Tendons</subject><subject>Tuberculosis</subject><subject>Wrist - pathology</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkc1LHTEUxYMoKvrW3ZWBbrqZmu9kNgUR-wGWbnzgpoRM5qaOzCTPZCK8_97Yp2LN5oZ7f_dwDwehDwR_IYTJs96llmJKWyqI7OgeOiZKqFZ1-Gb_zf8IrXK-w_UxwjVnh-iIScGEYvwY_VmHkoudmk2CDGGxyxhDE33jbNrU9lJCgKnJ2zCkOEMzFGiW2Pzauthbt0Aay9zMNo2h1jF4cC8CtzYMp-jA2ynD6rmeoPW3y-uLH-3V7-8_L86vWscYX1o5DCC9xFprpwXWPe80cAe-E4poSoBgZ63o_NBZQrWnzCrvcMeZGljPBTtBX3e6m9LPMLhqJNnJbNJYT9uaaEfz_ySMt-ZvfDCdklxSXAU-PwukeF8gL2Yes4NpsgFiyYYqIQklWrGKfnqH3sWSQrX3j-KKEcUrdbajXIo5J_CvxxBsntIzNT3zlJ7ZpVc3Pr718Mq_ZMUeATdGl2Q</recordid><startdate>20221219</startdate><enddate>20221219</enddate><creator>Pai G, Mithun</creator><creator>Bhat, Anil K</creator><creator>M Acharya, Ashwath</creator><creator>Reddy, Shreya Pulli</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0222-5484</orcidid></search><sort><creationdate>20221219</creationdate><title>Unusual presentation of carpal tunnel syndrome due to Mycobacterium marinum infection of hand</title><author>Pai G, Mithun ; 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infection of the hand and wrist. The infection resulted in severe pain, paresthesia and restriction of movement in the hand.Flexor tenosynovectomy, followed by histological and microbiological studies, indicated the presence of atypical mycobacteria. The patient was started on a combination antimicrobial therapy for 6 months. The patient regained full range of motion and returned to perform daily activities with ease.Diagnosis of
infection of the hand is challenging as the presentation mimics other conditions and may have nonspecific histological findings. This atypical mycobacterium may also show resistance to commonly used antitubercular drugs. Hand surgeons should maintain a high index of suspicion of
and adopt a multiteam approach to prevent delay in diagnosis for successful treatment.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>36535734</pmid><doi>10.1136/bcr-2022-251692</doi><orcidid>https://orcid.org/0000-0003-0222-5484</orcidid></addata></record> |
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| subjects | Carpal tunnel syndrome Carpal Tunnel Syndrome - surgery Case reports Case Reports: Unusual association of diseases/symptoms Disease transmission Granulomas Hand - pathology Humans Infections Laboratories Mycobacterium Infections, Nontuberculous - drug therapy Nontuberculous Mycobacteria Pain Pathogens Patients Range of motion Tendons Tuberculosis Wrist - pathology |
| title | Unusual presentation of carpal tunnel syndrome due to Mycobacterium marinum infection of hand |
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