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Case Reports
. 2005 Feb;43(2):988-90.
doi: 10.1128/JCM.43.2.988-990.2005.

Tenosynovitis of the wrist due to resistant Mycobacterium tuberculosis in a heart transplant patient

Alexandre Le Meur  1 , Cédric Arvieux, Pascal Guggenbuhl, Michel Cormier, Anne Jolivet-Gougeon
Affiliations
Case Reports

Tenosynovitis of the wrist due to resistant Mycobacterium tuberculosis in a heart transplant patient

Alexandre Le Meur et al. J Clin Microbiol. 2005 Feb.

Abstract

Tubercular tenosynovitis is now rare, which can delay diagnosis of this disease. We report a case of tenosynovitis of the wrist in a heart transplant patient caused by an isoniazid- and streptomycin-resistant Mycobacterium tuberculosis strain. Despite immunosuppression therapy, which can lead to a smoldering evolution, molecular biology analysis of biopsies allowed a rapid diagnosis.

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Figures

FIG. 1.
FIG. 1.
Paraffin-embedded biopsy section, stained with hematoxylin-eosin-safran, showing inflammatory lesions with caseous necrosis, large granulomas of epithelioid cells and giant cells. Magnification, ×200.
See this image and copyright information in PMC

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