Carpal tunnel syndrome due to Mycobacterium szulgai infection: Australian report
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Keywords
nontuberculous mycobacteria, carpal tunnel syndrome, tenosynovitis
Abstract
Non-tuberculous mycobacterial tenosynovitis is a rare condition, more typically caused by M. marinum followed by M. kansasii.4 Patients typically present with chronic swelling without signs of acute infection, and normal ESR/CRP inflammatory markers.4 It is difficult to diagnose and is frequently misdiagnosed, which often results in delay to treatment (on average roughly six months).
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References
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3. Pocza A. Pulmonary infection caused by Mycobacterium szulgai. Med J Aust. 1981;1(8):419–20. https://doi.org/10.5694/j.1326-5377.1981.tb135686.x PMid:7254091
4. Zenone T, Boibieux A, Tigaud S, Fredenucci JF, Vincent V, Chidiac C, Peyramond D. Non-tuberculous mycobacterial tenosynovitis: a review. Scand J Infect Dis. 1999;31(3):221–28. https://doi.org/10.1080/00365549950163482 PMid:10482048
5. Merlet C, Aberrane S, Chilot F, Laroche JM. Carpal tunnel syndrome complicating hand flexor tenosynovitis due to Mycobacterium szulgai. Joint Bone Spine. 2000;67(3):247–48.
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7. Bartolf A, Cosgrove CA. Mycobacterium szulgai infection in the flexor sheath of the right index finger in an immunocompetent patient. BMJ Case Rep. 2017;2017:bcr2016217722 https://doi.org/10.1136/bcr-2016-217722 PMid:28288996 PMCid:PMC5353364
8. Harvey J, Russell P. Mycobacterium szulgai infection as a cause of carpal tunnel syndrome in a patient who kept a Mississippi mud turtle. J Hand Surg Eur Vol. 2019;44(5):543–45. https://doi.org/10.1177/1753193419829365 PMid:30786809
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