Drainage, debridement, synovectomy, and anti-tubercular treatment led to uneventful wound healing and good recovery of range of motion at one-year follow-up in a patient with tubercular flexor tenosynovitis.
Case Report (n=1)
Rice bodies in flexor tenosynovitis can present a diagnostic dilemma and may be of tubercular origin even without classical signs.
hr and C-reactive protein, rheumatoid factor, and anti-cyclic citrullinated peptide tests were negative. Thickened and distended ulnar bursa with rice bodies was seen on magnetic resonance imaging (MRI). Thorough drainage, debridement, and synovectomy were done. Epithelioid cell granulomas with multinucleated giant cells on microscopy and the strongly positive Mantoux test prompted us to start anti-tubercular treatment. The wound healed uneventfully with good recovery of range of motion of the little finger at one-year follow up. Rice bodies can be a diagnostic dilemma in the absence of classical signs of their rheumatoid or tubercular origin.
Tiwari et al. (Sat,) conducted a case report in Flexor tenosynovitis of the wrist with rice bodies (n=1). Drainage, debridement, synovectomy, and anti-tubercular treatment was evaluated on Wound healing and range of motion recovery. Drainage, debridement, synovectomy, and anti-tubercular treatment led to uneventful wound healing and good recovery of range of motion at one-year follow-up in a patient with tubercular flexor tenosynovitis.
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