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We present a rare case of primary tuberculous tenosynovitis in a young patient with an acute history of non-penetrating traumatic injury. The patient had recently visited Pakistan and presented with sudden onset pain at the base of their right fifth digit after trying to catch a cricket ball. A provisional diagnosis of haematoma was made; however, ultrasonography revealed a mass attached to the A2 pulley. Surgical excision followed by histological examination and culture identified Mycobacterium Tuberculosis infection. This case serves to raise clinical awareness of this rare condition and highlight the importance of obtaining a travel history.

Original publication

DOI

10.1142/S0218810417720066

Type

Journal article

Journal

J hand surg asian pac vol

Publication Date

03/2017

Volume

22

Pages

111 - 113

Keywords

Finger, Infection, Tenosynovitis, Tuberculosis, Acute Disease, Antitubercular Agents, Fingers, Hematoma, Humans, Male, Orthopedic Procedures, Tenosynovitis, Tuberculosis, Osteoarticular, Ultrasonography, Young Adult